35. Polymyalgia rheumatic Flashcards Preview

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Flashcards in 35. Polymyalgia rheumatic Deck (12)
1

polymyalgia rhematica - treatment

rapid response to low dose corticosteroids

2

polymyalgia rhematica - labs

1. increased ESR
2. increased CRP
3. normal CK

3

sex and age

older women

4

polymyalgia rhematica is associated with

temporal ( giant cell) arteritis

5

polymyalgia rhematica clinical manifestation

1. pain and stffness in shoulders and hips
2. fever
3. malaise
4. weight loss
( NO MUSCULAR WEAKNESS)

6

polymyalgia rhematica - pain and stiffness IN

shoulders and hips

7

polymyalgia rhematica - muscular weakness

NO muscular weakness

8

• A 60-year-old patient has sore, stiff hips and shoulders, fever, malaise, and weight loss. She has normal strength. Diagnosis?

Polymyalgia rheumatica

9

• A patient has polymyalgia rheumatica. What do you expect the ESR, CRP, and CK levels to be?

ESR and CRP will be elevated, and the CK will be normal

10

• Polymyalgia rheumatica occurs most commonly in which age group?

Patients >50 years of age

11

• A patient with painful, stiff shoulders, malaise, and fever develops a headache that is worse in the temples. What are you concerned about?

Temporal (giant cell) arteritis, which is associated with polymyalgia rheumatica

12

• A patient with painful, stiff shoulders, malaise, and fever quickly feels better after taking her new medication. What is the medication?

Low-dose corticosteroids (for polymyalgia rheumatica)

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