The Rational Clinical Examination
David L. Simel, Drummond Rennie
Temporal Arteritis
Gerald W. Smetana, Robert H. Shmerling, Dan Solomon
Clinical Scenario
Topics Discussed:
giant cell arteritis
Excerpt:
"A 72-year-old woman whom you have treated for the past decade
comes to see you out of concern for her new-onset headaches. During
the past month, her headaches have largely been stable, without
progression. She has been tired but volunteers no other associated
symptoms. On further questioning, she says that the pain occurs
bilaterally in the temporal and occipital areas. She denies jaw
claudication but does report scalp tenderness. She has had no vision
loss. On physical examination, she has pulseless, nontender temporal
arteries...."
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