Ankle Injury
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History of Present Illness:
- A 32-year-old female presents to the ED for an ankle injury
- She denies fever or other complaints
Vital Signs & Physical Exam:
- Vital signs are normal.
- Physical exam is normal except for lateral ankle tenderness and mild swelling. There is no knee of foot tenderness
Initial Differential Diagnosis:
- Sprain
- Fracture
Initial Diagnostic Testing:
- Ankle x-ray
QUESTIONS:
- What does the case image show?
- What should you do next?
- Want a 1-minute consult/tutorial on this case?
- Want to know what happened with this patient?
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ANSWERS:
- What does the case image image show? NO FRACTURE BUT AN ANKLE EFFUSION
- What should you do next? Treat as a sprain
- Want a 1-minute consult/tutorial on this case? See yellow area from sample page below.
- Want to know what happened with this patient? See case conclusion below tutorial page.
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CASE CONCLUSION: No fracture. Healed well after 2 months total
Here’s an article on ankle effusions: https://pubs.rsna.org/doi/abs/10.1148/radiol.2313021096?journalCode=radiology