No musculoskeletal history, tenderness, pain on range-of-motion testing

No musculoskeletal history, tenderness, pain on range-of-motion testing

No musculoskeletal history, tenderness, pain on range-of-motion testing

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Decision

Symptoms >1 month?

Yes → Order chest x-ray, consider inflammatory markers (Class III)

No → Rest, ibuprofen, acetaminophen trial (Class II)