dull arm pain

[med99]

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Just wondering if anyone can give any insite.

30y/o age patient with left arm pain that feels like it is deep to the biceps muscle. Discribed as a dull, aching pain, 1-2/10 and present intermittantly throughout the day. It comes and goes in 30-60 second spirts followed by lack of pain for a few minutes and then symptoms return again. Doesn't seem to be associated with any activity but may have started after a "violent sneeze".
No significant PMH
Lipitor, wellbutrin

A stretch of the brachial plexus perhaps? Arterial spasm?

 

[AlternateSome1]

cervical disk impinging on a nerve?
angina?

This seems vague, especially without a physical. Is dull arm pain of 1-2 really the chief complaint?

 

[nycdoc22]

Just wondering if anyone can give any insite.

Lipitor, wellbutrin

A stretch of the brachial plexus perhaps? Arterial spasm?

Doesnt sound classically neuropathic

hmm. ...but muscle pain + lipitor = better check a CK

unlikely but you dont want to miss it.

 

[aphistis]

Doesnt sound classically neuropathic

hmm. ...but muscle pain + lipitor = better check a CK

unlikely but you dont want to miss it.

S'what I was thinking.

 

[med99]

Cleared up with OTC prilosec 😉