Question

What is the organized physical examination that follows the orthopedic examination outline?

3. A right hand dominant 45 yr old female presents to the clinic with bilateral shoulder pain
for 1 week. She denies any specific injury. When the pain began it was an ache in her right
shoulder. She took Aleve and Tylenol for the pain which gave her some relief from the pain. The
next day, the pain migrated to her left shoulder. She describes the pain as an ache 3/10 with
sharp 7/10 stabbing pain when she tries to reach her arms above her shoulders. The pain is
localized to a spot on the anterior aspect of both shoulders and she can point to where the pain
is the worst. She notes that over the past year she has had bouts of joint pain and stiffness
mostly in the morning. She denies any significant past medical history but states that both her
mother and father suffered from “some kind” of arthritis. She is unsure what the exact name
was.

Answer 1

Answer: The large joint in the shoulder is the glenohumeral joint, the assessment of the shoulder joint is necessary in this case.

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