VMware ESXi 6.5 includes VMware Tools for the most commonly used guest operating systems; Tools for other guests are available for download from My VMware. Similarly, Tools updates for those same bundled guests will be distributed through Update Manager, as they have been in the past, via the tools-light VIB.
The trapezius muscle is one of the largest muscles, extending down from the neck to the middle of the upper back and stretching across the shoulder blades. The main job of the trapezius muscle is to stabilize and move the shoulder blades (scapula).
In brief: Painful. The spleen lies just under the diaphragm on the left side so when it ruptures the blood gets under the diaphragm causing significant pain with each breath and sometimes into the left shoulder blade area additionaly blood will run down left side causing pain along left side even into pelvis. It is usually very painful.