P a g e | 1 A PAIN IN THE NECK: UNRAVELING THE CAUSE OF RADIATING CERVICAL DISCOMFORT IN A 47-YEAR-OLD PATIENT ,A+ GRADE 47-Year-Old Patient with Neck Pain and Radiating Shoulder PainP a g e | 2 Patient Profile Name: Mr. James Carter Age: 47 years Gender: Male Occupation: Office worker (computer-based job) Chief Complaint: My neck has been hurting for about two weeks, and the pain is going into my shoulder. History of Present Illness (HPI) Mr. Carter is a 47-year-old male who presents with: Neck pain for 2 weeks Stiffness in the cervical region Pain radiating to the right shoulder and upper arm Pain described as sharp and shooting Pain severity: 7/10 Worse with neck movement and prolonged sitting Mild numbness in right fingers No history of trauma Over-the-counter ibuprofen provides minimal relief Past Medical History (PMH) Hypertension (controlled with medication)P a g e | 3 No previous spinal injuries No recent infections Medications Lisinopril 10 mg daily Ibuprofen 400 mg PRN for pain Social History Works 8-10 hours daily at a computer Poor ergonomic posture Smokes pack per day Occasional alcohol use Sedentary lifestyle Review of Systems (ROS) Musculoskeletal: Neck stiffness, shoulder pain Neurological: Mild tingling