Intra-Thoracic Pathology

Etiology

  • Heart attack→ pain can radiate to L shoulder & arm
  • Aortic dissection→ pain to L shoulder & arm
  • Pulmonary embolous→ pain can radiate to either shoulder
  • Apical lung tumor

Physical Exam Findings

  • In any of these situation, neck and shoulder exam would be normal and patient should have other suggestive sx