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| * shoulder pain |
| | #178750 |
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A 63-year-old man presents with acute onset of pain in the shoulder girdle. Two weeks ago, he began to feel incessant pain in his shoulders, and he has been unable to drive himself to work in the morning. By the afternoon, he is able to lift his shoulders somewhat normally, but overall he feels extremely fatigued. What is this patient’s physical examination likely to show?
a Significant weakness on upper extremity muscle testing
b Pain with supination against resistance
c Discomfort with passive range of shoulder motion
d Marked limitation of cervical spine flexion
e Tophaceous deposits on extensor tendons
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