El hombro doloroso a través del razonamiento clínico

Abstract

Painful shoulder is one of the commonest consultations in Primary Health Care. Due to the lack of time and the high degree of uncertainty in our daily work, it is essential to keep in mind a clear enough etiopathogenic algorithm for a right clinical decision making. This algorithm would include a great diversity of pathologies, some frequent enough to be always considered in our clinical reasoning, and others, less frequent, that should be considered when the first do not rationally explain the situation. The objective is not only to describe the different etiologies of the painful shoulder, but also to present this pathology with its clinical differential diagnosis and treatment schema in Primary Health Care.