Mr Harwood, is a widow, who got admitted to the hospital on 30-6-2011 with the complaints of pain, weakness in the right shoulder and unable to lift arm overhead. Mr Harwood has had history of fall on outstretched arm from descending stairs at home . X- ray and MRI revealed a partial rotator cuff tear for which orthopaedic surgeon advised a surgery . But, patient preferred non - surgical treatment and she was managed with medications and physiotherapy. Mr Harwood has had history of Diabetes Mellitus and takes 500 mg of Metformin daily . In addition to this , he has been receiving ibuprofen orally four times a day and cortisone injections. His blood sugar was monitored fourth hourly in the hospital
