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NUR 2180 Rasmussen College Musculoskeletal System Case Study

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Subject

Nursing

School

Rasmussen University

Course

NUR 2180

Type

Case Study

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Running head: PHYSICAL ASSESSMENT 1

Physical Assessment

Morris Daffa

NUR2180 Section MHQ2 Physical Assessment

Ramussen College

Joylyn Anderson

July 16, 2020

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PHYSICAL ASSESSMENT 2

Physical assessment

Objective findings

The client is a twenty-three-year-old woman who works in a construction company that

manufactures heavy metals. She is very alert, conscious, and answers all questions properly. Her

skin is white with even tone and no visible lesion. She has a gloomy face that looks distressed.

Her height is five feet, three inches. She weighs one hundred and sixty pounds, which is

somehow overweight concerning her height. The body parts are correspondingly bilateral and in

a similar proportion. She seems to have difficulty while standing, thus made it easier to examine

her from a sitting position. She is unable to place her foot on the ground comfortably. The

movement of all joints is correct, smooth, and corresponding apart from her ankle, which is

inflexibly swollen and during movement. The lady maintains eye contact in the course of

communication but makes certain facial expressions such as occasional frown and whimpers,

especially during the examination of her ankle. Otherwise, she is cooperative and interacts

pleasantly. She is well nourished, appears clean, and appropriately groomed.

Subjective findings

The patient has no history of any skin disease, no allergies, eczema, or psoriasis. She has

no observable rash or lesions nor any signs of hair loss. She appears healthy since a pink color

returns in her nails in less than two seconds after a force is detached. The skin around her ankle

is red in color and visible irritation on the swollen area. No bruising observed.

The patient offered a two-day history of ankle pain and swelling. She also testifies of pain

as 5/10 with piercing aches when attempting to walk. When she rests and presses ice on the

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Running head: PHYSICAL ASSESSMENT Physical Assessment Morris Daffa NUR2180 Section MHQ2 Physical Assessment Ramussen College Joylyn Anderson July 16, 2020 1 PHYSICAL ASSESSMENT 2 Physical assessment Objective findings The client is a twenty-three-year-old woman who works in a construction company that manufactures heavy metals. She is very alert, conscious, and answers all questions properly. Her skin is white with even tone and no visible lesion. She has a gloomy face that looks distressed. Her height is five feet, three inches. She weighs one hundred and sixty pounds, which is somehow overweight concerning her height. The body parts are correspondingly bilateral and in a similar proportion. She seems to have difficulty while standing, thus made it easier to examine her from a sitting position. She is unable to place her foot on the ground comfortably. The movement of all joints is correct, smooth, and corresponding apart from her ankle, which is inflexibly swollen and during movement. The lady maintains eye contact in the course of communication but makes certain facial expressions such as occasional frown and whimpers, especially during the examination of her ankle. Otherw ...
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Tags: Musculoskeletal System medicare Acute ankle pathology ankle injuries chronic ankle flux