10-20-2011, 05:48 PM
55 yo male c/o shoulder pain with a h/o some form of injury some 6 weeks ago, he comes now as the pain is worsened over the past 3 days..every movement is painful.no ecchymosis,erythema,swelling.
he also complaints of fatigue..
smoker,alcoholic,multiple sexual partners, works in some factory..
I did many things to manage the shoulder issue but upon follow up his fatigue kept on getting worse.Eventually i did an Xray chest, there is an apical mass!! i order further tests and consult specialists but..THE CASE ENDS IN 5 MINUTES! too late fellas! i guess i lost it..
he also complaints of fatigue..
smoker,alcoholic,multiple sexual partners, works in some factory..
I did many things to manage the shoulder issue but upon follow up his fatigue kept on getting worse.Eventually i did an Xray chest, there is an apical mass!! i order further tests and consult specialists but..THE CASE ENDS IN 5 MINUTES! too late fellas! i guess i lost it..