Temporal arteritis Quiz: Ace Your Exams
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A 69-year-old woman presents to her primary care physician with a history of frequent severe, throbbing headaches on the right. She also has severe jaw pain on the right when chewing food, which is relieved when she stops eating. She has not had any visual symptoms. Past medical history is significant for osteoporosis for which she takes alendronate daily. Vital signs are within normal limits. Physical examination reveals tenderness to palpation of the temporal regions of her head bilaterally with decreased pulsation. Fundoscopic examination is within normal limits. Laboratory findings are shown below. A biopsy to confirm the diagnosis is scheduled. Which of the following is the best next step in management?
| Laboratory value | Result |
| White blood cell count | 11,500/mm3 |
| Hemoglobin | 10.5 g/dL |
| Mean corpuscular volume | 81 μm3 |
| Platelet count | 520,000/mm3 |
| Erythrocyte sedimentation rate | 86 mm/h |
| C-reactive protein | 35 mg/L |
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