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Abrasion, right ankle, initial encounter
ICD10CM code
#### Name of the Condition
- Abrasion, right ankle, initial encounter (ICD Code: S90.511A)
#### Summary
- An abrasion is a superficial wound on the skin, often referred to as a scrape or scratch. This specific condition involves an abrasion on the right ankle, recorded during the first medical evaluation of the injury.
#### Causes
- Abrasions commonly result from friction or scraping against a rough surface, which can occur during activities like sports, falls, or minor accidents.
#### Risk Factors
- Active lifestyle involving sports or physical activities.
- Poor footwear or walking on uneven surfaces.
- Environmental factors such as icy or wet conditions.
#### Symptoms
- Redness, pain, and irritation on the affected area.
- Possible bleeding or weeping of clear fluid.
- Tenderness around the abrasion.
#### Diagnosis
- Physical examination of the affected area.
- Evaluation of the surrounding skin to rule out deeper injuries.
#### Treatment Options
- Cleaning the wound with mild soap and water to prevent infection.
- Applying an antiseptic or antibiotic ointment.
- Covering with a sterile bandage to protect the area.
#### Prognosis and Follow-Up
- Typically, minor abrasions heal without significant issues within a few days to a week.
- Regular monitoring to ensure proper healing and prevent infection.
#### Complications
- Infection if the abrasion is not kept clean.
- Scarring if healing is impaired or picking at the scab occurs.
#### Lifestyle & Prevention
- Wearing protective gear during activities.
- Ensuring a tidy environment to minimize falls.
- Keeping skin moisturized to prevent dryness and irritation.
#### When to Seek Professional Help
- If there is severe pain, swelling, or pus indicating infection.
- If the wound doesn't heal within a week or worsens.
#### Additional Resources
- American Academy of Dermatology (ADA): [www.aad.org](https://www.aad.org)
- Wound Healing Foundation: [www.woundhealingfoundation.org](http://www.woundhealingfoundation.org)
#### Tips for Medical Coders
- Ensure specificity by noting the initial encounter for the right ankle.
- Avoid confusing with similar injuries such as lacerations or bruises.