The Rational Clinical Examination
David L. Simel, Drummond Rennie
Temporal Arteritis
Gerald W. Smetana, Robert H. Shmerling
Clinical Scenarios
Topics Discussed:
erythrocyte sedimentation rate, giant cell arteritis, headache
Excerpt:
"A 74-year-old woman has recent onset of daily bitemporal headache
but is otherwise well. Her general physical examination results
are normal and the erythrocyte sedimentation rate (ESR) is moderately
elevated, at 64 mm/h. You wonder whether additional medical
history or physical examination findings will modify your suspicion of
possible temporal arteritis (TA) or whether the historical features
alone warrant proceeding to temporal artery biopsy...."
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