Whenever a patient presents with acute non-traumatic shoulder pain, the clinician should make sure to exclude a:
A. Cardiac origin of symptoms
B. Gastrointestinal condition
C. Cervical spine disorder
D. All of the above
ANS: D
Acute shoulder syndromes frequently arise from inflammation. Most frequently, the capsule of the glenohumeral joint, supraspinatus tendon, and the subacromial bursa are involved. When patients present with shoulder pain, always consider the possibility of cardiac, cervical neck, or gastrointestinal cause. Cardiac pain commonly radiates to the left shoulder. Cervical spine degeneration and osteoarthritis frequently causes right- or left-sided shoulder pain. Gastrointestinal disorders, such as cholecystitis, frequently cause pain radiation to the right shoulder.
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