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Old 01-22-2012
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Question Transient blindness and unilateral headache

An elderly male presents with pain in his shoulders and hands. ESR is 105 mm/L. History includes transient blindness and unilateral headache. Select the most probable diagnosis for the patient ?


A. Polymyalgia rheumatica
B. Polyarteritis nodosa
C. Scleroderma
D. Reiter syndrome
E. Ankylosing spondylitis
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Old 01-22-2012
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A. Polymyalgia rheumatica....associated with giant cell/temporal arteritis.

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Old 01-22-2012
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yes .....its A......
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Old 01-23-2012
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A. Polymyalgia rheumatica
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Old 01-23-2012
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A. Polymyalgia rheumatica , patient s history and high ESR make the diagnosis easier
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Old 01-23-2012
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Answer is AAAA....pt is old, and high ESR
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Old 01-24-2012
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Polymyalgia rheumatica
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Old 01-24-2012
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Correct Answer Polymyalgia rheumatica

Eventho it has been said, remember that polymyalgia rheumatica is strongly linked with Temporal arteritis. This is the only significant disease where an increased ESR is diagnostic, patients must receive steroids ASAP even before bipsy specimen returns in order to avoid irreversible blindness
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