iHuman case Andrew Chen. He is a 14-year-old boy with a chief complain of pain and swelling in the right ankle(WITH all the questions, test, differential diagnosis) 2023/2024

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Health Promotion Plan Andrew Chen, 14-year-old male, with a past medical history of cystic acting taking tetracycline, benzo-peroxide and salicylic acid face washes. He presents after a fall at his ... basketball game with injury to the right ankle. Patient states that he went to take a shot and tripped over another player’s foot and fell with other players falling on his right ankle. He states that the pain is worsening; 10/10, with worsening swelling and bruising. The treatments that he has been using are ice, elevation, ace wrap and ibuprofen. On assessment of the right ankle there was a moderate amount of swelling and bruising, circumferential swelling but medial and posterior side of right ankle was most impressive and extends to the anterior tibia/fibula sparing the dorsum, significant tenderness of the right medial malleolus and posteriorly less severe distal tibia and fibula, bilateral pedal pulses were equal and decreased range of motion of the right ankle and unable to bear weight on that ankle related to pain. The x-ray showed a Salter Harris type 2 fracture of the right ankle. The diagnosis based on patient presentation, assessment and imaging is fracture. Part of this health promotion strategy is patient education on the importance of elevation of the ankle for this diagnosis. Elevating the ankle will have numerous benefits for the healing process and recovery from a Salter Harris type 2 fracture. This component of the treatment plan is an effective way to reduce swelling (Seo et al., 2020). A main complaint from this patient was that the swelling continued to increase after his injury, resulting in more pain. To manage this component of the fracture elevation is a useful treatment method. Providing education on the importance of this strategy will help the patient and his family understand the purpose and benefits of elevation for comfort and healing. Evidence-based practice indicates that elevation after a fracture improve swelling and can result in accelerated healing in some cases (Seo et al., [Show More]

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