usmlebuzz
Forum Elite
Topics: 93
Posts: 263
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An 81-year-old man presents with left temporal pain of several days' duration. The pain is aching, and he notes night sweats. He has a mild leukocytosis [13,000/μ3 white blood cells (WBCs), normal differential], as well as weight loss because of jaw pain induced by eating. Chest x-ray and computed tomography (CT) scan of the brain are normal. The sedimentation rate is 110 mm/hr (normal for males is 0-15 mm/hr).
Which of the following is the most likely diagnosis?
A. Migraine headache
B. Cluster headache
C. Temporal arteritis
D. Malignant otitis externa
E. Major depression
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| veri
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Hi Ritu:the answer is temporal arteritis.
good luck, Veri
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| usmlebuzz
Forum Elite
Topics: 93
Posts: 263
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correct :lol: :lol: :lol: :lol:
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| cache
Forum Guru
Topics: 130
Posts: 275
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C. Temporal arteritis
should be treated on emergency basis, as risk of blindness is present.
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| cache
Forum Guru
Topics: 130
Posts: 275
|
C. Temporal arteritis
should be treated on emergency basis, as risk of blindness is present.
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| usmlebuzz
Forum Elite
Topics: 93
Posts: 263
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is it inot necessary to first confirm it with a biopsy, before treating????? ::very_confused::
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| Hosam
Forum Newbie
Topics: 4
Posts: 21
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If you suspect TA, do ESR, elevated: start with pridnosolon 5-7 days until improvement of symtoms and ESR.
biopsy may be -ive (skip lesions)
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