Boy with swollen foot

This image was taken on a 6-year-old male who was wrestling with his cousins when he developed severe pain in his right foot. There was bruising and swelling over the dorsum of the right foot.
View the images taken (Figure 1) and consider what your diagnosis would be.

Tracey Quail Davidoff, MD

Urgent care physician, BayCare Urgent Care, Florida. Editorial Board Member, the Journal of Urgent Care Medicine