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Posted: May 1st, 2022
Assignment 5: Aspirin and NSAIDS
Assignment 5: Aspirin and NSAIDS
Tom, a 26-year-old runner, got here into the workplace right now complaining
of fixed ache in the fitting ankle. Whereas operating his regular route,
he unintentionally stepped on a department mendacity in his path, twisting his
ankle inward. He denies listening to a “pop.” He was capable of stroll, or
limp, the remaining ¼ mile again to his residence, the place he
instantly elevated and iced the ankle for 30 minutes. He took
two acetaminophen 325 mg, showered and dressed for work, and
drove to his place of employment. He continued to expertise
vital ache within the ankle, worse when strolling. His foot grew to become
swollen. Since his job in a sporting items retailer requires that he be
on his ft many of the day, he was unable to proceed his regular
workday, and made a same-day appointment to be seen. He has
no persistent illnesses, takes no treatment, and denies latest use
of NSAIDs, as aspirin and ibuprofen trigger him to have gastritis. He
sprained the ankle final 12 months, however was capable of handle that damage at
residence.
Assessment
A 26-year-old, in any other case wholesome male presents limping into the
examination room, holding his proper shoe in his hand. He grimaces
with partial weight-bearing of the affected foot. He has native
ecchymosis and 1+ edema over the anterolateral ligaments of the
proper ankle. Capillary refill, pulses, and sensation of the foot and
toes are intact. There is no such thing as a lateral or anterior instability of the joint
or tendons. X-ray of the ankle and foot are destructive for fracture or
dislocation. He has a grade I lateral ankle sprain.
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