Class notes
FM Case 25 - 38-year-old man with shoulder pain
- Course
- Institution
FM Case 25 - 38-year-old man with shoulder pain
[Show more]
Content preview
FM Case 25 - 38-year-old man withshoulder pain 2024-2025
Which of the following conditions may present with shoulder pain? Choose the single best answer.
A. Myocardial infarction
B. Cancer of the lung
C. Cholecystitis
D. Ruptured ectopic pregnancy
E. All of the above - correct answer ✔✔All
A. Myocardial infarction
B. Cancer of the lung
C. Cholecystitis
D. Ruptured ectopic pregnancy
E. All of the above
While Mr. Chen's pain does not sound emergent, you are ever mindful of conditions within your
differential that would require immediate treatment to avoid catastrophic outcomes. Which of the
following musculoskeletal causes of shoulder pain would merit urgent diagnosis and management?
Select all that apply.
A. Calcific tendinopathy
B. Septic glenohumeral arthritis
C. Impingement of the supraspinatus tendon
D. Septic subacromial bursitis
E. Adhesive capsulitis - correct answer ✔✔Correct Answers:
B. Septic glenohumeral arthritis
D. Septic subacromial bursitis
, Sequelae of septic glenohumeral joint or septic subacromial bursitis - correct answer ✔✔May lead to:
- Local tissue destruction
- Loss of function,
- Extension of infection locally to deeper spaces such as bone (osteomyelitis) or more distant sites by way
of bacteremia
- May progress to sepsis.
Shoulder pain "ref flags" - correct answer ✔✔Patient reports:
- Redness
- Swelling and/or
- Systemic complaints such fever, chills, and myalgias.
Predisposing factors for septic shoulder - correct answer ✔✔- Diabetes
- Alcoholism
- Immune-compromising conditions
Work up for suspected septic shoulder - correct answer ✔✔- Urgent eval with US or MRI
- Immediate same-day consultation with an orthopedic surgeon
- Definitive evaluation includes fluid aspiration and culture
What imaging for a suspected septic shoulder - correct answer ✔✔US or MRI
What is the definitive evaluative tool for a suspected septic shoulder - correct answer ✔✔Fluid
aspiration and culture
Definitive treatment of confirmed septic arthritis or bursitis entails - correct answer ✔✔- Surgical
drainage
- Tailored antibiotic therapy.
- Hospitalization is warranted if this diagnosis is confirmed.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BravelRadon. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now