JL, a 50-year-old woman, fell and broke the left tibia at the
ankle. She is in the emergency department, waiting for the fracture
to be immobilized. The leg hurts and she notes that the ankle is
swelling. A diagnosis of a simple fracture and sprain (damage to
ligaments) is made.What is the cause of pain and
swelling? What can JL expect in the days to come as inflammation
resolves and healing begins?
What is the rationale for
immobilizing the fractured bone?
She is told to come back to the
fracture clinic in 24 hours to have her cast checked. What could
happen to the inflamed tissue if the edema increases in the casted
She reports feeling fatigued and anorexic, and has a
low-grade temperature. What is the cause of these symptoms?

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