Originate the Prognosis: There are Hundreds Clues, but Can You Originate the Prognosis?
Presentation
A 68-year-customary man equipped to the physician with complaints of unswerving shoulder wretchedness, joint stiffness, and decreased vary of motion that developed all around the last 2 months. The patient worthy that the shoulder wretchedness feels worse at night when mendacity down in mattress, or with job. There turn out to be no latest historical past of trauma. He is currently retired but worked a heavy manual labor job for over 45 years. The patient has a scientific historical past of rheumatoid arthritis, and he reported a historical past of smoking (40+ years). Superior lateral migration of the humeral head turn out to be shown thru palpation and inspection. External rotation recede value and carry-off test had been certain. An MRI examination demonstrated atrophy of the supraspinatus and infraspinatus muscles with linked rotator cuff tearing. The MRI examination also demonstrated acetabularization of the coracoacromial arch with superior migration of the humeral head and a full-thickness, massive rotator cuff lunge. Are you able to diagnose the patient?
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33%
a) Acromioclavicular joint separation
28%
b) Adhesive capsulitis of the shoulder
63%
c) Rotator cuff arthropathy
39%
d) Shoulder impingement syndrome
Learnings
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