A 52 year old farmer presents with right shoulder pain for o…
A 52 year old farmer presents with right shoulder pain for over one year. He says that it has gradually gotten worse and now it is difficult to sleep as the pain is worse at night. On physical exam you notice muscle atrophy of the supraspinatous and the infraspinatous. The active range of motion of his right arm is limited at 90 degrees and he fails to raise his arm over his head. With passive range of motion however, his arm can smoothly be raised above his head. When the patient holds his arm forward at 30 degrees abduction (thumb down) and you apply downward pressure, he is unable to resist and his arm drops. Now with his arm at his side but his elbow bent and forearm forward he externally rotates his arm against your resistance, again this is painful and weakness is noted. At this point in the exam, what is the most likely diagnosis?
Read DetailsThe physical exam technique that requires a patient to hold…
The physical exam technique that requires a patient to hold both hands above their head with shoulders abducted at least 90 degrees and then open and close their fists at a moderate speed for 3 minutes in an effort to reproduce neurologic symptoms is evaluating for ______________________________.
Read DetailsA parent brings their 5 year-old son in who has been limping…
A parent brings their 5 year-old son in who has been limping occasionally for the past 2 weeks. Which of the following symptoms would make you think that Legg-Calve-Perthes Disease should be considered as a possible diagnosis?
Read DetailsA pt. presents C/O radiating pain from the left side of his…
A pt. presents C/O radiating pain from the left side of his neck into his left shoulder and dorsal left forearm. On questioning, he realizes he also has some numbness of the first two fingers (not counting the thumb) of the L hand. While performing your PE, what reflex might you expect to be decreased in this patient?
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