Clinical Challenge: October, 2015

This feature will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of 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 [email protected].
 
Case
A 12-year-old presents with severe ankle pain and swelling after twisting an ankle while jumping off a tree limb.
View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.