experiencing right shoulder pain after falling off of a ladder 3 days ago while cleaning out the eavestrough gutters of his home. The man was brought to the hospital by his wife and is presenting with localized swelling, weakness, decreased range of motion, and has pain on palpation of the anterior right shoulder. His pain is increased when he tries to activate the shoulder by initiating external rotation and abduction. The man’s major complaint is that he is unable to comb his hair and brush his teeth without pain as he cannot maintain his arm in an elevated position for more than a few seconds. At the hospital, the doctor ordered an x-ray and gave him an injection of local anesthetic. The x-ray did not show any
Ron (he/his) is a 60-year-old man is experiencing right shoulder pain after falling off of a ladder 3 days ago while cleaning out the eavestrough gutters of his home. The man was brought to the hospital by his wife and is presenting with localized swelling, weakness, decreased range of motion, and has pain on palpation of the anterior right shoulder. His pain is increased when he tries to activate the shoulder by initiating external rotation and abduction. The man’s major complaint is that he is unable to comb his hair and brush his teeth without pain as he cannot maintain his arm in an elevated position for more than a few seconds. At the hospital, the doctor ordered an x-ray and gave him an injection of local anesthetic. The x-ray did not show any significant findings and the anesthetic relieved his pain but did not help with the weakness
From an ANATOMICAL point of view (not a medical school class):
a. Identify and explain three differential diagnoses (diseases or conditions that present similar signs and symptoms that could possibly account for the patient's symptoms) in this deltoid/supraspinatus injury with appropriate justifications. After describing your three differential diagnoses, indicate the most likely diagnosis based on your analysis and provide rationale and support for your selection.
*If you're using outside cources please cite!
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