Patient presents with right shoulder pain following a fall onto an outstretched hand.  Onset of pain was acute and occurred approximately two days prior to this encounter.  Patient reports pain localized to the right shoulder, exacerbated by movement and relieved with ice and rest.  The patient denies any numbness, tingling, or radiating pain down the arm.  Physical examination reveals tenderness to palpation over the anterior aspect of the right shoulder, specifically at the acromioclavicular joint and deltoid muscle insertion.  Range of motion is limited in abduction, flexion, and external rotation due to pain.  No gross deformity, crepitus, or ecchymosis is noted.  Strength testing reveals mild weakness in abduction and external rotation.  Neurovascular examination is intact.  Based on the mechanism of injury, clinical presentation, and physical exam findings, the diagnosis of right shoulder sprain is made.  Differential diagnoses considered include rotator cuff tear, shoulder dislocation, and clavicle fracture.  Radiographic imaging was not obtained at this time due to low suspicion for fracture or dislocation.  Treatment plan includes RICE therapy (rest, ice, compression, elevation), over-the-counter NSAIDs for pain management, and referral to physical therapy for range of motion and strengthening exercises.  Patient education provided regarding activity modification and proper body mechanics.  Follow-up scheduled in two weeks to assess progress.  ICD-10 code S43.401A, Sprain of unspecified ligament of right shoulder, initial encounter, is assigned.