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Medical Certificate for Ankle Sprain

The document is an orthopedic consultation note for a 23-year-old female patient who presented with pain and swelling in the left ankle after a twisting injury. The diagnosis is a lateral ankle sprain, and the patient is advised to rest, use an ankle binder, and follow a medication regimen for pain management. A follow-up is recommended in two weeks or as needed.

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1K views2 pages

Medical Certificate for Ankle Sprain

The document is an orthopedic consultation note for a 23-year-old female patient who presented with pain and swelling in the left ankle after a twisting injury. The diagnosis is a lateral ankle sprain, and the patient is advised to rest, use an ankle binder, and follow a medication regimen for pain management. A follow-up is recommended in two weeks or as needed.

Uploaded by

aditeedas27
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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CON TIN ENT AL


HOS PITA LS
a....H ~•-'- ·

ORTHOPEADICS, JOINT CENTRE & SPORTS CLINIC


OP NOTE
Padnl ID : CH24025l68 Encounter ID : OPCH4264 l I
htitat Na~ : Miu ADITEE OAS Age/ Gender : 23Years/FEMALB
Ceaulta■t : OR. ARUN REDDY MALLU Date of Visit : 24-06-2024
Vint Type FfRST VISIT

CKJU' COMl't..At1'TS • C/O PAIN AND SWELLING IN THE


LEFT ANKLE SINCE FEW HOURS

HISTORY OP H/0 lWISTING INJURY TO THE LEFT ANKLE FEW HOURS AGO
PR£SE.V r [Link] PAIN AGORA VA TES ON WALKING WITH WEIGHT BEAR

PAlN SCORE 3:
PAST MEDICAL 1h : NOT KNO\\'N ANY HTN, DM OR THYROID

PASTStJRCICAL lb : NIL

'RECOMM.E.,1>£0 : Radiology : X~RA Y FOOT LT. AP I LAT I OBLIQUE VIEW


L1-VESTIGATIO.N
lb:
MEOICATION ADVICED
I DOCTOR'S JNSTRUCTION
# MEDICATION
I UPRISE DJ 60K SYP WEEKLY ONCE BEFORE BREAKFAST FOR 4 WEEKS
2 MAGNTLEAO..PLUS TAB 0.1 tab{s) ORAL Daily Once AFTER LUNCH xlS days
3 ASCOLEAD TAB 1.0 tab(s) ORAL Daily Once After Lunch x2 weeks
4 ZERODOLSP LO tab(s) ORAL Two times a Day After Food x I week

CARE PLAN/ : fMPRESSION- LATERAL ANKLE SPRAIN- LEFT SIDE


ADVICE
ADVISE-

TO REST AT HOME FOR 2 WEEKS

-=?TO USE ANKLE BINDER


.':f'J'O WALK WITH BELOW KNEE AIRBOOT wmI HELP OF SINGLE
CRUTCH

ICE PACK APPLICATION


LIMB ELEVATION
ACTIVE ANKLE AND TOE MOVEMENTS

REVIEW AFTER 2 WEEKS/SOS

Page 1 of 2

Tel: •914067000000 Malf; lnfo@[Link] Website: [Link]


Dletrlct , Gachibowfi , Nanakaram uda . Hyderabad .. 500032
Address : Plot # • 3 , Road # - 2 , IT &Financial
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Page 2 of 2
•• ti [Link] Website: [Link] [Link]
Tel: +914067000000 Meil. infoGcon - ~ District ' Gachioo-MI ' Nanaka uda. H erabad - 500032
[Link] : Plot # • 3 . Road # - 2 • IT & Rna,1\,,181

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