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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 e-mail the relevant materials and presenting information to [email protected].
The patient is a 50-year-old female who presents with pain in her right thumb after taking a fall.
On examination, you not local swelling at the base of the thumb. The patient confirms this is the site of her pain, as well.
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: May, 2010
Nahum Kovalski, BSc, MDCM
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