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Symptoms and Signs – Differential Diagnosis of Shoulder Pain
WITH LOCAL FINDINGS IN SHOULDER
• Trauma: contusion, fracture, muscle strain, trauma to spinal cord
• Arthrosis, arthritis, rheumatoid arthritis (RA), ankylosing spondylitis
• Bursitis, synovitis, tendinitis, tenosynovitis
• Aseptic (avascular) necrosis
• Local infection: septic arthritis, osteomyelitis, abscess, herpes zoster, TB
WITHOUT LOCAL FINDINGS IN SHOULDER
• Cardiovascular disorders: ischemic heart disease, pericarditis, aortic aneurysm
• Subdiaphragmatic abscess, liver abscess
• Cholelithiasis, cholecystitis
• Pulmonary lesions: apical bronchial carcinoma, pleurisy, pneumothorax, pneumonia
• GI lesions: peptic ulcer disease (PUD), gastric neoplasm, peptic esophagitis
• Pancreatic lesions: carcinoma, calculi, pancreatitis
• CNS abnormalities: neoplasm, vascular abnormalities
• Multiple sclerosis (MS)
• Syringomyelia
• Polymyositis/dermatomyositis
• Psychogenic
• Polymyalgia rheumatica
• Ectopic pregnancy
WITH LOCAL FINDINGS IN SHOULDER
• Trauma: contusion, fracture, muscle strain, trauma to spinal cord
• Arthrosis, arthritis, rheumatoid arthritis (RA), ankylosing spondylitis
• Bursitis, synovitis, tendinitis, tenosynovitis
• Aseptic (avascular) necrosis
• Local infection: septic arthritis, osteomyelitis, abscess, herpes zoster, TB
WITHOUT LOCAL FINDINGS IN SHOULDER
• Cardiovascular disorders: ischemic heart disease, pericarditis, aortic aneurysm
• Subdiaphragmatic abscess, liver abscess
• Cholelithiasis, cholecystitis
• Pulmonary lesions: apical bronchial carcinoma, pleurisy, pneumothorax, pneumonia
• GI lesions: peptic ulcer disease (PUD), gastric neoplasm, peptic esophagitis
• Pancreatic lesions: carcinoma, calculi, pancreatitis
• CNS abnormalities: neoplasm, vascular abnormalities
• Multiple sclerosis (MS)
• Syringomyelia
• Polymyositis/dermatomyositis
• Psychogenic
• Polymyalgia rheumatica
• Ectopic pregnancy
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