Conversation: The conversation between human and AI assistant.
[|Human|] I fell down several steps last night. I landed on my right shoulder, turning my right ankle, hitting both knees. I am 58 years old. Slight pain last evening, however couldn t sleep due to the pain. Only slight edema. On Saturday (next day after fall) pain was significantly worse with weight and movement with my ankle. Now with edema and bruising of the ankle. We have adopted 3 boys ages 6, 7 and 10 a sibling group all with RAD (Reactive Attachment Disorder). Our biological kids at 30 and 32. It s hard for us to get a sitter so I haven t gone to the ER. Should I try to go to the ER on Sunday?
[|AI|]  Hi, Thanks for your query. Based upon your description, I suspect that you might have injured the ligaments around the ankle joint. An initial X-ray of the ankle joint is necessary to rule out any bony injury. If X-rays are negative for any fracture, then MRI scan is needed to know the status of the ligaments around the ankle joint. I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care