A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle.

Case Study: Ankle Pain

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 (DDx) for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing?

Instructions:

• Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.
• Bear in mind – any musculoskeletal complaint should reflect a mechanism of injury. Specifically indicate how the injury occurred. Additionally, the justification of DDx is not the clinical definition or diagnostic criteria. What are the findings in the note to support the differential diagnosis?
• Please use a minimum of 3 current resources, including both the school material and outside peer-reviewed resources.

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