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Nurs-6512 Case Week 8, A 46-year-old female reports pain in both of her ankles, but she is more concernedabout her right ankle. She was playing soccer over the weekend and heard

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NURS 6512: Advanced Health Assessment and Diagnostic Reasoning Week Eight: Assessment of the Musculoskeletal System Review of case study #2: Ankle Pain Scenario: A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a "pop." She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottowa ankle rules to determine if you need additional testing? Episodic/Focused SOAP Note for Throat Exam Patient Information: G.M. Age: 46 y.o. Sex: Female DOB: 7/5/1971 S. Chief Complaint/Reason for Visit: “Both of my ankles hurt, but more severe on the right” History of Present Illness: Ms. G.M. is a 46-year-old Asian female that works as a physical education teacher at a local school district who presented with reports of bilateral ankle pain for the past 2 days. Patient reported that she was playing soccer over the weekend when she heard a “pop” sound during the game. The pain initially ranges from 4/10 on both ankles but after 5-10 minutes her right ankle pain started to increase. According to her, she was able to bear weight on both ankles but felt more discomfort on the right side when walking or standing. Although applying cold compress on both areas provides relief, she noticed that her right ankle seems swollen since yesterday.

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