The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle, and that the decision to obtain radiographs is dependent on the exam and Diane's description of her injury. Which of the following clues in Diane's exam or history would alert the clinician to the need for obtaining radiographs?
a. Inability to bear weight immediately after the injury
b. Development of marked ankle swelling and discoloration after the injury
c. Crepitation with palpation or movement of the ankle
d. All of the above
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