Shoulder pain it\'Dx and Rx(1)shoulder pain accumulated on movement of hand (a)frozen shoulder-diffuse pain everywhere the enarthrosis that accumulated particularly whereas cleanup rock bottom once passing the stool or hair care the hair or throughout sleep-advice him to short method modality or electrical thermopad reception in conjunction with oral medication and shoulder exercise-if pain is severe recommendation him interarticular corticoid injection(b)fibrositis or sprain-he has shoulder pain that is felt at one spot whereas moving the arm-pain accumulated on movement of shoulder-pain once exertions or significant excersis-advice him native antiinflammatory gel and hot fermentation-prescribe him tab nise adult male for sprain-if pain is severe recommendation injection corticoid in painful bursa(C)cervical spondilitis-shoulder pain is accumulated by neck movement,coughing and sneezing-he is experiencing a sense of pins and needles within the arm and fingers of and on-slight pain and stiffness in neck-mostly seen in older patients as a result of aging and wear and tear of spine-advice him to go to therapy clinic for cervical traction,exercise, and warmth therapy-advice native application of diclo gel and oral pain killer drug-advice to avoid hand bag to carried for few months-advice to use cervical collar(2)shoulder pain isn\'t accumulated on movement of hand(a)pleuresy or pneumonia-shoulder pain along {side|in conjunction with|beside|at the side of|together with} pain in same on deep breathing-patient has complain of fever ,coughing ,dyspnea and chest pain-advice him x ray of chest to rule out pleuresy or respiratory disorder-if pneumonia is gift,patient ought to be hospitalised and antibiotic injection ought to run for few days(b)angina or heart attack-left sided shoulder pain-not accumulated on movement of hand-pain in tie space of chest in conjunction with shoulder pain-Pain is brought on by excersis-Pain with severe sweating and dyspnea-family history of heart attack-personal history of high blood pressure and diabetes-hypotension-elderly and sent him to unit for more treatment(c)gall stone-pain in right shoulder and doesn\'t accumulated on movement of hand-shoulder pain in conjunction with severe pain in right hypochondria of abdomen which works to back ,colicky in nature-sometime gift with jaundice-pain with nausea ,vomting and severe sweating-Give him robust pain killer injection and recommendation him x ray of abdomen if stone is gift recommendation him surgery(d)liver abcess-pain in right shoulder and doesn\'t accumulated on movement of hand-shoulder pain in conjunction with fever ,pain in right higher tummy or in lower chest-mostly seen in those who often consume alcohol ANd have suffered an attack of infectious disease in past-ask for ultrasound of abdomen-if gift giant dose of tab antiprotozoal drug is given for durable
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