20 Questions
Which symptom is associated with pneumonia if inflammation involves or puts pressure on diaphragm?
Persistent cough
What is the most common musculoskeletal symptom in renal causes of shoulder pain?
Arthralgia of proximal joints
Which skin change is associated with liver and biliary causes of shoulder pain?
Jaundice
Which infectious cause can lead to an enlarged spleen and left shoulder pain?
Mononucleosis
What is a symptom of ectopic pregnancy that can but not commonly refer pain to the shoulder?
Sudden sharp lower abdominal pain
What may indicate impaired cardiovascular system if aggravated by lying down?
Chest pain
What can cause pain associated with eating and is a GI cause of shoulder pain?
Ulcer
Which infectious cause can lead to septic arthritis of the acromioclavicular joint?
Staphylococcus aureus
Which rheumatic condition can cause shoulder pain?
Polymyalgia rheumatica
What can refer pain to the shoulder and is a renal cause of shoulder pain?
Pressure on diaphragm
Which maneuver is used to test for thoracic outlet syndrome?
Adson Maneuver
Which organ can put pressure on the diaphragm and cause left shoulder pain?
Spleen
Which type of pain is caused by irritation of the parietal pleura?
Sharp, localized pain aggravated by breathing
What is a characteristic of pain referred from the diaphragm to the ipsilateral upper trapezius and neck?
Diaphragmatic irritation
Which condition can cause shoulder pain and typically presents with lower pelvic pain/cramping?
Ectopic pregnancy
Which organ lies in the midline and can refer pain to the back?
Pancreas
Which test is used to reproduce symptoms with palpation of the diaphragm and assess for an altered breathing pattern?
Diaphragmatic irritation test
Which type of pain is associated with irritation of the central diaphragm?
Refers pain to ipsilateral upper trapezius, neck, supraclavicular
Which condition can cause right shoulder pain due to irritation of the diaphragm?
Gall bladder
Which test is used to assess the radial pulse while the patient rotates their head to the tested side and takes a deep breath?
Adson Maneuver
Study Notes
Shoulder Pain Causes
- Shoulder pain can be caused by pneumonia if inflammation involves or puts pressure on the diaphragm.
- The most common musculoskeletal symptom in renal causes of shoulder pain is flank pain.
Skin Changes and Shoulder Pain
- A skin change associated with liver and biliary causes of shoulder pain is jaundice.
Infectious Causes of Shoulder Pain
- Infectious mononucleosis can lead to an enlarged spleen and left shoulder pain.
- Infectious causes can lead to septic arthritis of the acromioclavicular joint.
Gastrointestinal Causes of Shoulder Pain
- Gallstones can cause pain associated with eating and are a GI cause of shoulder pain.
Rheumatic Conditions and Shoulder Pain
- Rheumatoid arthritis is a rheumatic condition that can cause shoulder pain.
Cardiovascular and Renal Causes of Shoulder Pain
- Impaired cardiovascular system can be indicated by pain exacerbated by lying down.
- Pyelonephritis can refer pain to the shoulder and is a renal cause of shoulder pain.
Thoracic Outlet Syndrome
- The Adson maneuver is used to test for thoracic outlet syndrome.
Organs and Shoulder Pain
- The spleen can put pressure on the diaphragm and cause left shoulder pain.
- The pancreas lies in the midline and can refer pain to the back.
Diaphragmatic Pain
- Pleuritic pain is caused by irritation of the parietal pleura.
- Characteristic of pain referred from the diaphragm to the ipsilateral upper trapezius and neck is sharp, stabbing pain.
Ectopic Pregnancy and Shoulder Pain
- Ectopic pregnancy can cause shoulder pain, but not commonly.
Abdominal and Thoracic Conditions
- Cholecystitis can cause right shoulder pain due to irritation of the diaphragm.
- The Hookman test is used to reproduce symptoms with palpation of the diaphragm and assess for an altered breathing pattern.
- The Radial Pulse Test is used to assess the radial pulse while the patient rotates their head to the tested side and takes a deep breath.
Test your knowledge of musculoskeletal, vascular, and neurological causes of shoulder pain with this quiz. Explore conditions such as trauma, repetitive stress, thoracic outlet syndrome, and systemic causes that can contribute to shoulder discomfort. Be prepared to identify special tests and understand the potential referral patterns of pain from other areas of the body.
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