In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected].


The patient, an otherwise healthy 2-year-old, had a history of playing with button batteries and then started crying with discomfort on the left side of the nose.

View the image taken (Figure 1) and consider what your diagnosis would be.

Resolution of the case is described on the next page.

Clinical Challenge: December, 2011

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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