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 e-mail the relevant materials and presenting information to editor@jucm.com.

The patient is a 35-year-old Caucasian female who presented with dysphagia and progressively worsening neck pain. No history of injury was reported. Neurovascular exam was normal. View the x-ray taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described below.

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The Resolution

The correct diagnosis is Eagle syndrome. Lateral view plain radiograph shows calcification of the stylohyoid ligament.

Treatment with non-steroidal anti-inflammatory drugs was initiated, with referral to ENT for further evaluation.

Acknowledgment: The patient was treated and the case presented by Rajesh Davit, MD, chief resident, Family Medicine Residency, Greenville Hospital System University Medical Center, Greenville, SC.