Shoulder pain can result from irritation or overload of local structures, along with referral from the cervical and thoracic spine. Occasionally though, you will have shoulder pain patients with a different source and pattern of symptoms, and you have to hunt for another diagnosis. This case study will put you in the detective hot seat, like Sherlock Holmes, uncovering the mystery of a lesser known cause of shoulder pain. Will you solve the mystery and uncover the diagnosis?
Nick Kendrick, an APA Titled Musculoskeletal and Sports Physiotherapist, will help you explore subjective questioning with likely diagnoses, objective assessment and clinical reasoning, through to imaging and treatment pathways for a patient with an “irregular case of shoulder pain”.
Part 1
Case study introduction
Start reasoning Sherlock
What questions will you ask the victim? Time for the Subjective history
Suspicions - Likely and unlikely diagnosis after the subjective history
Missing pieces of the puzzle
Putting the objective assessment under the magnifying glass
Part 2
Other suspects & potential diagnoses
Evidence & mugshots - what do the investigations and imaging reveal?
Vital clues to the mystery
The culprit is revealed
Features of the culprit
Common victims - who suffers with this condition
Identifying the anatomical area
The evidence is brought to bear - what does the evidence base tell us about this condition
References
This case study will be available for Clinical Edge members on 21 July 2017. Get your free trial by CLICKING HERE to watch this online course as soon as it is available.