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Hi. Welcome to JustAnswer. I am Dr Uzair.I am reviewing your post and will post back with your reply momentarily.
Can you please tell me what blood tests have you had and if you can, please mention the results as well.
Let me know.
And these were all within normal limits?
Do you remember if you had an ESR and CRP tests?
If you did indeed have an ESR and a CRP and autoantibody panel, and everything was fine, then an orthopedic surgeon is the best person to see for the shoulder pain and the lasting fatigue. A Rheumatologist will not be able to help if this is not an autoimmune or chronic inflammatory condition, which does not seem likely given the normal tests.
A MRI of the shoulder is in order but the best course of action will be to see the Orthopedic surgeon for an evaluation first.
Hope this helps.
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An orthopedic surgeon can do everything that a Rheumatologist can plus they are well versed with musculoskeletal disroders, secondly, your rheumatology tests like autoantibodies etc are normal. A comprehensive evaluation of the musculoskeletal system is warranted in your case.
It can be either of the two but that can only be established once a thorough evaluation is done. There is no room for speculation in this, chornic fatigue syndrome is a diagnosis of exclusion, once all other conditions have been ruled out and there is no other explanation for the symptoms, this can be labelled as chronic fatigue syndrome.
Upper left abdominal pain can be visceral rather than neuropathic or muscular, but more likely muscular than neuropathic.
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