DrVirgo
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A 65 year old woman consults a physician with complaints of severe pain and sitfness of the neck, shoulders, and hips. These symptoms are worst in the morning and after inactivity. The woman has also been experiencing a variety of systemic symptoms, including malaise, low grade fever, depression and some weight loss. ON Exam there is no evidence of erosive or destructive joint disease, no point tenderness when pressure is applied to small joints, no selective muscle weakness or muscle atrophy, and no rheumatoid nodules. Blood studies demonstrate a mild normochromic normocytic anemia, dramatically elevated ESR and elevated CRP. TSH is .75 mIU.mL. Rheumatoid factor is negative. Electromyography and muscle biopsy fail to demonstrate conclusive evidence of muscle disease. This patient' smost likely condition has the strongest association with with of the following?
A. Chrons disease
B. Dermatomyositis
C. Discoid lupus erythematosus
D. Sjogren Syndrome
E. Temporal Arteritis
-What is her condition/diagnosis?
Edited by DrVirgo on 06/19/07 - 12:34 PM
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| sprint123
Forum Guru
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Polymyalgia Rheumatica + Constitutional symtopms + Increased ESR..
Temporal arteritis!
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| prathapdoctor
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yes.
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| Justice
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E. Temporal Arteritis
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| DrVirgo
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Right.
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