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Review of Case Study #2: 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 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? SUBJECTIVE DATA: Chief Complaint (CC): Ankle pain History of Present Illness (HPI): pt c/o bilat ankle pain, worse on R s/p hearing a “pop†while playing soccer this past weekend. Pt is able to bear weight, with some discomfort. Medications: None reported Allergies: None reported Past Medical History (PMH): None reported Past Surgical History (PSH): None reported Sexual/Reproductive History: None provided Personal/Social History: None provided Immunization History: None provided This study source was downloaded by 100000837860601 from CourseHero.com on 05-19-2026 05:06:16 GMT -05:00 https://www.coursehero.com/file/48379618/6512N-6521N-W8docx/ Significant Family History: None provided Lifestyle: Physically active in soccer on weekends Additional questions for patient: Where is the pain? Rate your pain on a scale from 0-10, 10 being the worst pain you have ever felt. Does anything make the pain better? Worse? When did this happen? What were you doing when you heard the “pop� How long have you been having pain in the ankles? Have you had any previous injuries to either ankle? OBJECTIVE DATA: Review of Systems (ROS): Vital Signs: Not provided General: Denies fever and fatigue, difficulty bearing weight to right ankle with ambulation HEENT: Not provided Neck: Not provided Breasts: Not provided Respiratory: Not provided Cardiovascular/Peripheral Vascular: Not provided Gastrointestinal: Not provided Genitourinary: Not provided Musculoskeletal: Bilat ankle pain with additional right ankle discomfort on ambulation Psychiatric: Not provided
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