Narcissism
Post-traumatic stress disorder
This is a case about a 26 year old female that was a victim of a snatch and grab robbery. She had her purse forcefully taken from her left shoulder. She had the purse strap in her hand and the assailant pulled the strap out of her hand and forced the shoulder into guarded flexion. The scapula was also taken forcefully into protraction. The assailant then knocked the victim onto the ground on her right shoulder/upper back. The victim felt pain in her neck and in the shoulder girdle bilaterally. Over the next 24 hours, she developed pain in her entire back, buttocks, legs, and arms. She also had a headache. Exam reveals restriction with pain in the cervical range of motion. Shoulder range of motion was painful and restricted bilaterally. Exquisite tenderness was noted in almost any area of the body. Her affect was flat and noted on the exam form. For our purposes of discussion in this case, we will assume that this incident occurred 3 months ago and......
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