ABSTRACT

Examination This woman is obese, but cardiorespiratory and abdominal examinations are unremarkable. Her right shoulder joint is tender on palpation, and no active or passive movements are possible because of pain. There is mild erythema over the right shoulder and it feels slightly warm to the touch. A shoulder X-ray reveals osteopenic bones but no joint abnormality is detected. Observations: temperature 37.9°C, heart rate 92/min, blood pressure 100/65 mmHg, SaO2 93 per cent on room air.