Myalgias and myositis Quiz: Ace Your Exams
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A 67-year-old woman comes to the outpatient provider for evaluation of fatigue and muscular pain for the past 4 months. The patient also reports muscle stiffness that is worse when waking up in the morning and improves after several hours. Family history is notable for rheumatoid arthritis in the patient’s mother. Past medical history is notable for hypertension and hyperlipidemia. Temperature is 38.1°C (100.6°F), blood pressure is 145/90 mmHg, pulse is 68/min, and respiratory rate is 12/min. There is tenderness to palpation in the muscles of the bilateral shoulders and hips. No muscle weakness is noted. Laboratory testing reveals the following results:
Which of the following symptoms is the patient at the greatest risk of developing?
| Laboratory value | Result |
| Hemoglobin | 14.7 g/dL |
| Leukocyte | 7,900/mm3 |
| Erythrocyte Sedimentation Rate (ESR) | 105 mm/h |
| Serum creatinine kinase | 76 U/L |
Which of the following symptoms is the patient at the greatest risk of developing?
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