History of progressive organomegaly (hepatosplenomegaly) Physical examination revealed no evident organomegaly, lymphadenopathy, or other masses. On physical examination, the patient had normal bowel sounds and mild left upper-quadrant tenderness to deep palpation but no masses, hernias, or organomegaly.
Quick Answer. Causes of upper arm pain include shoulder bursitis, biceps tendinitis, impingement syndrome and tennis elbow, according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Pain can start near the shoulder and travel down, or start at the elbow and travel toward the shoulder. Keep Learning.
One of the possible causes of pain between shoulder blades is a heart attack. This occurs when a build-up of cholesterol, fat and other substances block blood flow to the heart. The interrupted flow of blood can damage areas of the heart muscle.