A shoulder pain: Not so minor - An emergency department case report study

Shoulder pain frequently presents as a low priority case in the Emergency Department (ED). However, this is associated with many potential aetiologies, including sickle cell crisis. A thorough history taking and comprehensive assessment, along with an open-minded approach can enhance clinical decision-making processes when caring for patients presenting with shoulder pain.

A 35-year-old male presented to the ED with left shoulder pain. He was given a low priority score as he did not report any significant previous history or trauma, appeared well, and reported a low pain score at the time of presentation.

The open-minded approach by the Advanced Nurse Practitioner led to an appropriate diagnosis, pain management, care, and follow up for the patient.

This case underscored the critical importance of 'probe and probe again' until a clear rationale emerged for the aetiology of the shoulder pain experienced by a young and healthy patient.