Spot the diagnosis 131- 134

(131) A patient has come in the O.P.D for pain in the shoulder . On examination of the joint there is tenderness  just below the acromion . The arm is lying by the side of the chest . Spot the diagnosis?
(132)  A fatty lady of forty five has come for pain in the shoulder and itching of the back at upper side and sometime naucea and vomiting . On examination of her back there is hypersthecia on the back right side from nine to eleven ribs .
(133) A patient has come for pain in the shoulder and upper arm during the mid range of abduction from (45°to160°) and freedom from pain at the extremes of the range .
(a) Spot the diagnosis ?
(b) What are the causes ?
(134) A lady of sixty five has come for stiffness of the shoulder and pain which is worse at night often wakening her after she has fallen asleep . X-ray of her shoulder is normal . Spot the diagnosis ?

Answers
(131) Painful arc syndrome .
(132) Chronic cholecystitis .
(133)
(a) Painful arc syndrome .
(b1) incomplete rupture of the supraspinatus .
(2) supraspinatus tendnitis .
(3) Calcified  deposites supraspinatus tendons .
(4) subacromial bursitis.
(5) Crack fracture of the greater tuberosity .
(134) Frozen shoulder.