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Pages:
2 pages/≈550 words
Sources:
Check Instructions
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
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Topic:

Advance health assessment. Chief Complaint: Ankle pain

Coursework Instructions:

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 Ottawa ankle rules to determine if you need additional testing?

Coursework Sample Content Preview:

Advanced Health Assessment
Student’s Name
Institution
Course
Date
ADVANCED HEALTH ASSESSMENT
Subjective Data
Chief Complaint: Ankle pain
History of Present Illness (HPI): ankle pain, worse on hearing a “pop” while playing soccer this past weekend. The patient is able to bear weight, with some discomfort.
Past Medical History (PMH): None
Past Surgical History (PSH): None
Sexual/Reproductive History: None
Personal/Social History: None
Immunization History: None
Significant Family History: None
Lifestyle: The patient is physically active in soccer during weekends
Extra questions for patient: How long has the pain persisted? Did you have any pervious injuries on both ankles? Where is the pain? Kindly rate your pain on a scale from 0-10, where 10 is the worst pain you have felt. Can you do anything to make the pain go away or get worse? When did this happen? What were you doing when you heard the “pop”?
Objective Information
Vital Signs: None
General: The fever denies symptoms like fever and fatigue but has difficulties in bearing weight to right ankle with ambulation
HEENT: Not provided 
Neck: Not provided 
Respiratory: Not provided 
Cardiovascular/Peripheral Vascular: Not provided 
Gastrointestinal: Not provided 
Genitourinary: Not provided 
Musculoskeletal: Bilat ankle pain with extra right ankle discomfort on ambulation
Psychiatric: Not provided
Neurological: it is alert and adjusted to person, place, time, and event
Hematologic: Not provided 
ASSESSMENT:
Differential Diagnosis
Priority Diagnosis: Ankle sprain: This is because Sports participants are y vulnerable to ankle sprains. This is accompanied with pain and discomfort after an injury (Young, 2016)
Ankle fracture: This is manifested as pain and inability to ambulate, swelling and palpable crepitus (Kelly, 2015).
Achilles tendon injury: This is manifested as pain after an abrupt snap in the lower calf and inability to stand on the toes of the affected side (Sagl...
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