instruction: hello doctor this is about my 69 years old mother non obese nonhypertensive nondrinker smoker she is not on any medication she is unable to move her left arm for the past three days and also has shoulder pain especially when not sitting there was no injury to the arm and the trouble moving her arms is such that she cannot even braid her hair does this indicate heart disease can a finger pulse oximeter reading of the affected arm be of any relevance in ruling out a cardiac issue what about egg reading please reply
output: hello welcome to ilciniq com please attach the egg report it is not attached please clarify whether the pain is prominent feature or inability to move the arm or is it like that she is not able to move arm because of pain or fear of pain now this is not indicative of heart disease left arm pain without chest pain is unlikely to be related to the heart also there would not be any difficulty in moving the arm with a heart attack so it is unlikely to be related to the heart the possibilities are one is cervical and second is shoulder problems like frozen shoulder or arm dislocation even if there is no history of obvious trauma frozen shoulder is more lifely so she will need egg electrocardiography to be sure x ray of shoulder ap lateral view and maybe cervical spine if having symptoms next the pulse oximeter will not helpful in ruling out heart disease however if she has severe shortness of breath and low oxygen reading then this may indicate heart failure so indirectly we may infer however if the pain is mild and weakness is prominent then it is probably either cervical issue or neurological issue so get her examined by local doctor and ray done you may use volini spray or diclofenac spray I hope this helps