Which of the following statements does not belong in the physical exam portion of a patient with ankle pain?

The statement about the patient's pain starting after a fall off his skateboard does not belong in the physical exam portion of a patient with ankle pain because it describes the patient's history rather than the physical examination findings. A thorough physical exam focuses on objective data that can be observed and measured, such as the presence of edema, range of motion, and neurological status, which are critical for assessing the current condition of the patient’s ankle.

Details about how the injury occurred or the history of the symptoms, while essential for diagnosis, are typically gathered during the history-taking phase rather than during the physical examination itself. The remaining options provide direct findings from the physical assessment that help guide diagnosis and treatment.