Temporal arteritis Quiz: Ace Your Exams
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A 69-year-old woman presents to her primary care PA with a history of frequent severe, throbbing headaches on the right side. She also describes a recent episode of sudden vision loss in her right eye. Vital signs are within normal limits. Physical examination reveals tenderness to palpation of bilateral temporal regions of her head with decreased temporal artery pulsation on the right. Fundoscopic examination reveals swelling and pallor of the optic disc in the right eye. Laboratory findings are shown below. Ophthalmology is consulted. Which of the following is the best next step in management?
| Laboratory value | Result | Reference range |
| White blood cell count | 11,500/mm3 | 4,500-11,000/mm3 |
| Hemoglobin | 11.5 g/dL | 12-16 g/dL |
| Mean corpuscular volume | 88 μm3 | 80-100 μm3 |
| Platelet count | 510,000/mm3 | 150,000-400,000/mm3 |
| Erythrocyte sedimentation rate | 80 mm/h | 0-20 mm/h |
| C-reactive protein | 25 mg/L | <0.3 mg/L |
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