physical Assessment

You will perform a history of a musculoskeletal problem on the client below. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided. Your subjective portion of the documentation should briefly describe your “client”. In terms of your objective findings, remember to only record what you have assessed. Do not make a diagnosis or state the cause of a finding. You are not coming to any conclusions within your documentation. Your client information is noted below.Client Name: Mackenzie CarlsonDOB: 10-10-1986This client is a 37-year-old white female complaining of apainful, swollen ankle. States that she stepped ‘funny’ off a step two days agoand thinks she heard a ripping sound. She takes no medications and has noallergies. The client reports pain as 5/10 with sharp twinges when trying towalk, a notable limp is noted when the client walks favoring the affectedextremity. She states resting and ice decreases pain to 2/10 aching. Pain isprimarily in the outer aspect of ankle and foot. Has no prior injury to thisarea. No significant past medical history. When you examine the ankle the outeraspect of the malleolus is swollen and reddened with 2+ edema noted to thearea, pedal pulses are palpable and strong.You will submit this documentation as a Word document to thedrop box provided.

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