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Rule out major structural or other pathologies as the cause of the symptoms.

Risk factors for serious pathologies (also known as red flags -see next step in algorithm) identified during the history and examination warrants further investigation and referral to the appropriate healthcare provider. Once pathology has been ruled out, the patient should be treated according to the shoulder pain with calcific tendinitis care pathway. 

No

No

Yes

Management of Symptoms

 

Based on shared decision making between the patient and provider, the following therapeutic interventions is recommended:

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No

Yes

Yes

No

Discharge

Yes

Discharge