← Differential Diagnosis class notes
FROM MY PT SCHOOL NOTES · DIFFERENTIAL DIAGNOSIS · UNIT 2 · CHAPTER 06
Shoulder and upper extremity
Could shoulder or arm pain be referred from outside the joint? Evaluate exertional, cardiovascular and neurologic clues before assuming a local cause.
Key screening concepts
- Symptoms may arise from cervical roots, peripheral nerves, local tissues or visceral referral; symptoms need not originate at the painful region.
- Ask about chest symptoms, exertional association, systemic symptoms, trauma, progressive weakness and neurologic changes.
- Match symptom behavior and objective exam to an appropriate management or referral pathway.
PT clinical connection
Non-mechanical arm/shoulder pain with chest pressure, diaphoresis or breathlessness warrants emergency care.
High-yield distinction
Cardiac referral may mimic shoulder pain: New exertional pressure, diaphoresis, dyspnea or systemic instability is not a reason to attempt shoulder exercises first.
Original class sources: 5 Screening Patients with Shoulder and Upper Extremity Symptoms.pdf. Personal PT-school notes with separately indicated new references; not a diagnosis, medical clearance, emergency triage protocol or substitute for appropriate evaluation and referral pathways.
