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Question
Patient presents with the following X ray after yawning. Diagnosis?

Answer
Diagnosis: Mandibular Dislocation
The link below demonstrates an interesting alternative to the traditional reduction method; prospective randomized trails are pending.
http://www.youtube.com/watch?v=Kp8AzHIC0hM
References
Thanks to Dr. George Kochman for the image and Dr. Christopher Doty (EM Program Director at SUNY Downstate / Kings County Hospital Center) for the video.