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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 present- ing information to [email protected].

The patient, a 35-year-old male, presented after a blow to the face.
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: January, 2013

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services