Mehlman shoulder conditions 12-24 (1) Flashcards

1
Q

Subacromial bursitis vs
rotator cuff tendonitis.

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

A

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

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2
Q

Subacromial bursitis vs
rotator cuff tendonitis.

when present only subacromial bursitis?

A

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

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3
Q

Subacromial bursitis vs
rotator cuff tendonitis.

when present rotator cuff tendonitis?

A

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

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4
Q

Subacromial bursitis vs
rotator cuff tendonitis.

which painful in rest?

A

bursitis can be painful even during rest

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5
Q

Subacromial bursitis vs
rotator cuff tendonitis.

which painful only in movement??

A

tendonitis causes pain during movement

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6
Q

Biceps tendonitis. CP?

A

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

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7
Q

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

A

Biceps tendonitis.

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8
Q

Adhesive capsulitis.
Aka?

A

,,frozen shoulder” or arthrofibrosis

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9
Q

,,frozen shoulder” or arthrofibrosis?

A

Adhesive capsulitis.

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10
Q

Adhesive capsulitis.
Cp?

A

Decreased passive and active motion of shoulder in all directions.

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11
Q

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

A

Adhesive capsulitis.

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12
Q

Adhesive capsulitis. etiology?

A

Idiopathic, but increased risk in diabetes

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13
Q

Adhesive capsulitis.
Tx?

A

Tx = range of motion exercises / physiotherapy.

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14
Q

Winged scapula.
what nerve injury?

A

long thoracic nerve injury

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15
Q

Long thoracic nerve injury leads to what?

A

Winged scapula.

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16
Q

Long thoracic nerve injury innervates what?

A

serratus anterior

17
Q

Winged scapula.
can occur post what?

A

post-mastectomy.