Patient presents with left ankle pain.  Onset of pain is described as (acute, subacute, chronic), occurring (duration) ago.  The patient localizes the pain to the (lateral, medial, anterior, posterior) aspect of the ankle and reports the character of the pain as (sharp, dull, aching, throbbing, burning).  Aggravating factors include (weight-bearing, ambulation, palpation, range of motion, specific movements).  Alleviating factors include (rest, ice, elevation, medication).  The patient denies (or reports) any associated symptoms such as numbness, tingling, swelling, redness, warmth, or fever.  Past medical history is significant for (relevant conditions such as diabetes, arthritis, previous ankle injuries).  Medications include (list current medications).  Allergies include (list allergies).  Physical examination reveals (tenderness to palpation, edema, ecchymosis, limited range of motion, instability, crepitus) over the (specific anatomical location, e.g., lateral malleolus, medial malleolus, anterior talofibular ligament).  Neurovascular status is intact (or specify deficits if present).  Differential diagnosis includes ankle sprain, ankle fracture, Achilles tendonitis, plantar fasciitis, arthritis, and tarsal tunnel syndrome.  Ordered imaging studies include (X-ray, MRI, CT scan) to evaluate for bony or soft tissue injury.  Assessment:  Left ankle pain, likely due to (presumptive diagnosis).  Plan:  Recommend (RICE protocol: rest, ice, compression, elevation), analgesics (e.g., ibuprofen, acetaminophen), and (immobilization, physical therapy, referral to orthopedics) as indicated.  Patient education provided regarding activity modification and follow-up care.  Follow-up scheduled in (timeframe).