Mehlman shoulder conditions 03-10 (2)

Question 1

Subacromial bursitis vs
rotator cuff tendonitis.

vignette can be same in both, difficult to differentiate.
what says vignette?

Answer 1

In NBME vignettes, I’ve seen both can give Hx of patient doing
frequent overhead movement (i.e., painting a fence) + pain with palpation + pain that’s
worse when lying on one’s shoulder in bed at night, making differentiating these difficult

Subacromial bursitis will only present with above findings, which collectively are
known as impingement syndrome.
- Rotator cuff tendonitis will present with weakness when performing exam
maneuvers (as described in prior table).

Question 2

Subacromial bursitis vs
rotator cuff tendonitis.

when present only subacromial bursitis?

Answer 2

Will only present with findings in previously mentioned vignette, which collectively are
known as impingement syndrome.

Question 3

Subacromial bursitis vs
rotator cuff tendonitis.

when present rotator cuff tendonitis?

Answer 3

Rotator cuff tendonitis will present with weakness when performing exam
maneuvers (as described in prior table).

Question 4

Subacromial bursitis vs
rotator cuff tendonitis.

which painful in rest?

Answer 4

bursitis can be painful even during rest

Question 5

Subacromial bursitis vs
rotator cuff tendonitis.

which painful only in movement??

Answer 5

tendonitis causes pain during movement

Question 6

Biceps tendonitis. CP?

Answer 6

Presents as anterior shoulder pain with focal tenderness over the biceps tendon
(i.e., when pressing on anterior shoulder).

Question 7

Presents as anterior shoulder pain with focal tenderness over the biceps tendon
(i.e., when pressing on anterior shoulder).?

Answer 7

Biceps tendonitis.

Question 8

Adhesive capsulitis.
Aka?

Answer 8

,,frozen shoulder” or arthrofibrosis

Question 9

,,frozen shoulder” or arthrofibrosis?

Answer 9

Adhesive capsulitis.

Question 10

Adhesive capsulitis.
Cp?

Answer 10

Decreased passive and active motion of shoulder in all directions.

Question 11

Decreased passive and active motion of shoulder in all directions.?

Answer 11

Adhesive capsulitis.

Question 12

Adhesive capsulitis. etiology?

Answer 12

Idiopathic, but increased risk in diabetes

Question 13

Adhesive capsulitis.
Tx?

Answer 13

Tx = range of motion exercises / physiotherapy.

Question 14

Winged scapula.
what nerve injury?

Answer 14

long thoracic nerve injury

Question 15

Long thoracic nerve injury leads to what?

Answer 15

Winged scapula.

Question 16

Long thoracic nerve injury innervates what?

Answer 16

serratus anterior

Question 17

Winged scapula.
can occur post what?

Answer 17

post-mastectomy.