AssessmentsMyalgias and myositis: Pathology review
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 41-year-old woman is evaluated by the outpatient physician for 5-months of generalized fatigue and diffuse soft-tissue pain. The pain is present in the upper extremities, lower extremities, and back. She feels tired every morning despite getting adequate sleep in the evening. Past medical history is notable for hypertension that is currently managed with propranolol. Temperature is 37.2°C (98.9°F), blood pressure is 136/88 mmHg, pulse is 61/min, and respiratory rate is 15/min. Physical examination reveals 5/5 strength and full range-of-motion in the upper and lower extremities. Soft-tissue tenderness is elicited at multiple locations across the patient’s body. Laboratory results are as follows:
|Erythrocyte sedimentation rate (ESR)||7 mm/h|
|Serum creatinine kinase||27 U/L|
Which of the following additional findings would most likely be found in this patient?