Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of right ankle pain, swelling, and stiffness, following a recent episode of [gastrointestinal/genitourinary] infection. Symptoms are associated with morning stiffness lasting >30 minutes. Denies trauma, recent surgery, or history of crystalline arthropathy.
Clinical Examination Findings
Right ankle examination reveals significant periarticular edema, erythema, and warmth. Tenderness is noted upon palpation of the tibiotalar joint. Range of motion is limited by pain in both dorsiflexion and plantarflexion. No signs of joint instability or crepitus. Distal neurovascular status is intact.
Treatment Protocol
Initiate NSAIDs (e.g., Naproxen 500mg BID) for inflammation control. Recommend RICE protocol (Rest, Ice, Compression, Elevation) for the right ankle. Consider intra-articular corticosteroid injection if symptoms persist. Monitor for systemic symptoms and follow up in 2 weeks.