Clinical reasoning: A 47-year-old woman with left shoulder pain after a fall

  • Jerath N
  • Reddy C
  • Moritani T
 et al. 
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A 47-year-old right-handed woman fell to the ground while dancing. She hit her head and neck. However, she did not lose consciousness and continued to dance. Three days later, she developed severe sharp and burning left shoulder pain radiating into her left arm. The pain was associated with weakness and numbness. She also noticed right facial numbness. On review of systems, she had no visual, swallowing, speech, or bowel/bladder disturbances. Prior to the incident, she was in good health and took no medications. She drank alcohol only socially, and had a remote history of social smoking.

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