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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 live to submit a case for consideration, please w-mail the relevant materials and presenting information to [email protected].
The patient is a 14-year-old boy who presents with low back pain after failing from “a high height” and landing on his feet.
Exam is normal except for tenderness in the mid-lumbar region.
View the image taken (Figure 1) and consider what your diagnosis and next steps would be.
Resolution of the case is described on the next page.
Clinical Challenge: March, 2010
Nahum Kovalski, BSc, MDCM
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