ABSTRACT

This chapter, written for undergraduate medical students and post-graduate doctors in training, presents information on how to manage sore shoulder — a case which they are likely to encounter in the future in a general practice setting. It presents the case of a 65-year-old woman with a 2-month history of a sore and stiff right shoulder. She is finding sleeping and dressing particularly difficult. It is also hard for her to brush her hair, pick up her grandchildren, carry the laundry basket, cook, make the bed, do the housework or travel on the bus: all her activities of daily living have been affected. The chapter provides details of the patients' medical history and the key findings of clinical examination, together with initial investigation results data for evaluation, and helps them develop their skills of clinical reasoning. Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan.