Phil comes to your office with left “shoulder pain.” You find that the pain is markedly worse when his left arm is drawn across his chest (adduction). Which of the following would you suspect?
A) Rotator cuff tear
B) Subacromial bursitis
C) Acromioclavicular joint involvement
D) Adhesive capsulitis
C) Acromioclavicular joint involvement
Adduction of the patient's arm across his chest can cause pain if the acromioclavicular joint is involved. In adhesive capsulitis, this maneuver may not be possible due to limited range of motion. Subacromial bursitis would present with tenderness inferior to the acromion. Rotator cuff injury would ordinarily not be associated with pain during this maneuver.
You might also like to view...
While providing a hospital tour, the perinatal nurse shows the compact disc player stored in the birthing room. The nurse explains that music is encouraged during labor because it does which of the following? (Select all that apply.)
A. Decreases the production of catecholamines B. Increases maternal distraction C. Increases maternal oxygen demands D. Increases the production of endorphins E. Increases the woman's ability to focus
Within nursing education, nursing research was first taught to nursing students during the:
A) 1940s B) 1950s C) 1960s D) 1970s
When developing a teaching plan for a class that describes health policy, which of the following would the instructor include as an example of a regulatory health policy?
A) Licensure of health professionals B) Federal subsidies for nursing education C) Benefits for needy groups D) Allocating resources among groups
What type of budget requires rejustification for yearly fiscal needs?
A) Incremental budgeting B) Perpetual budgeting C) Zero-based budgeting D) Managed care