Cold Shoulder

Musculoskeletal System


Step 1: View Clinicals

{"ops":[{"insert":"A 64 year old women presents with pain and stiffness in both shoulder girdles for 3 months.\n\nThese symptoms are present upon waking up, and last for a couple of hours before gradually subsiding. She noticed that the stiffness tends to decrease with gentle activity, and is increased by prolonged rest.\n\nShe also complains of gradual loss of weight during this time, and of constantly feeling fatigued.\n\nHer medical history is unremarkable, and she is not on any drugs. X-rays of both shoulders appear to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-176_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. ESR + CRP
2. CPK
3. Full Blood Count
4. Autoantibody Screen

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