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Old 03-31-2011
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Question Polymyalgia Rheumatica and Sudden Blindness

A 33 year old woman with a history of polymalgia rheumatica presents to the ER with sudden blindness in her left eye. She reports having fever and malaise for the last five days along with a throbbing headache centered over the left side of her head. Physical exam reveals a febrile woman with left sided monocular blindness and a pain to palpation of the left sided of the scalp. Her ESR, C reactive protein, and platelets are elevated. What is the most likely diagnosis?

A - Kawasaki’s Disease
B - Raynauds’s Disease
C - Buerger’s Disease
D - Takayasu’s Arteritis
E - Polyarteritis nodosa
F - Temporal arteritis
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  #2  
Old 03-31-2011
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F. Temp art
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Old 03-31-2011
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Default Temp art

The answer is F - classical description!
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Old 03-31-2011
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F - Temporal arteritis
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Old 03-31-2011
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ans:F:temporal arteritis.
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Old 03-31-2011
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Temporal arteritis
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Old 03-31-2011
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Default Temporal arteritis

Kawasaki ...kids.
Raynaud... changes in color.
Buerger....smoking n toes die.
PAN...p-ANCA
Temporal arteritis and Takayasu's (which is pulseless disease) both medium vessel and CRP go up..but by the description.. Ans: Temporal arteritis..
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Old 04-01-2011
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Quote:
Originally Posted by Triquetrum View Post
Kawasaki ...kids.
Raynaud... changes in color.
Buerger....smoking n toes die.
PAN...p-ANCA
Temporal arteritis and Takayasu's (which is pulseless disease) both medium vessel and CRP go up..but by the description.. Ans: Temporal arteritis..
Nicely done... very good job. This is what you have to do in the exam. You have to narrow it down to the one best answer. 99% you will get the most correct ans on the exam.
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Old 08-31-2011
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Quote:
Originally Posted by Triquetrum View Post
Kawasaki ...kids.
Raynaud... changes in color.
Buerger....smoking n toes die.
PAN...p-ANCA
Temporal arteritis and Takayasu's (which is pulseless disease) both medium vessel and CRP go up..but by the description.. Ans: Temporal arteritis..

p-ANCA-not associated with "classic" polyarteritis nodosa, but is present in a form of the disease affecting smaller blood vessels, known as "microscopic polyangiitis" or "leukocytoclastic angiitis".
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