Patient presents with complaints of right wrist pain and swelling following a fall onto an outstretched hand.  On physical examination, tenderness is noted over the distal radius.  Positive snuffbox tenderness is not appreciated, suggesting a low probability of scaphoid fracture.  Ecchymosis and edema are present at the site of injury.  Range of motion is limited due to pain.  Neurovascular examination of the hand reveals intact sensation and capillary refill.  Radiographic imaging of the right wrist confirms a closed, displaced fracture of the distal radius.  Diagnosis: Right radial fracture.  Treatment plan includes closed reduction and immobilization with a short arm cast.  Patient education provided on cast care, pain management with ibuprofen, and follow-up appointment scheduled in one week for repeat radiographs and assessment of fracture healing.  ICD-10 code S52.501A, unspecified fracture of the lower end of right radius, initial encounter for closed fracture.  CPT code 25600 for closed treatment of distal radial fracture without manipulation.  Differential diagnosis included wrist sprain, scaphoid fracture, and ulnar styloid fracture.  Patient advised to return to the clinic or emergency department for any increase in pain, numbness, or tingling in the affected hand.