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NPTE Clinical Files | Physical Therapy

Shoulder Differential Diagnosis

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 1 January 2025

⏱️ 10 minutes

🧾️ Download transcript

Summary

Milani presents with anterior shoulder pain and reports difficulty with overhead activities. The patient describes intermittent clicking and discomfort with forward reaching. On examination, the therapist observes a positive Speed’s test, normal strength in external rotation, and no pain with passive shoulder elevation. Which of the following is the MOST likely diagnosis?

A. Bankart lesion

B. Subacromial bursitis

C. Biceps tendinopathy

D. Rotator cuff tendinopathy


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Transcript

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0:00.0

I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

0:09.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:16.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the

0:22.2

life I have today, a life filled with love, financial freedom, and a dream job that allows me to

0:27.9

change lives every single day. I created the NPTE Clinical Files podcast to give you simple,

0:34.5

actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.6

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.6

So if you're a driven PT student who's looking to pass the NPTE and start creating a life you love,

0:51.7

you're in the right place.

0:53.3

Enjoy the show.

0:56.3

For this week's clinical file, we have Malani and Malani presents with anterior shoulder pain and reports difficulty with

1:02.1

overhead activities. The patient describes intermittent clicking and discomfort with forward

1:07.6

reaching. On examination, the therapist observes a positive speeds test,

1:12.2

normal strength in external rotation, and no pain with passive shoulder elevation. Which of the

1:18.5

following is the most likely diagnosis? So we have A, bank cart lesion, B, subachromeo bursitis,

1:24.7

C, biceps tendonopathy, and D is rotator cuff tendonopathy all right let's go up to the top

1:31.3

of this question your boy is back baby January 2025 I'm super excited about this year I just want to say how

1:38.7

grateful how thankful I am to be a part of your PT journey towards dominating this MPTE.

1:46.9

So I'm grateful for you, grateful for the opportunity to still be doing what we do and crushing

1:52.1

it this year here at the PT hustle.

1:54.4

So thank you all for the support.

1:56.4

Let's go ahead and knock down today's question.

...

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