PMR

Answer 1

Muscle strength completely normal

Question 2

Really important question

Answer 2

Could this be GCA? 50 percent of patients with GCA have PMR

Answer 3

Large vessel vasculitis

Answer 4

New onset headaches
Jaw claudication
Tenderness around artery

Question 5

Management of PMR

Answer 5

15mg pred daily, review after 1 week
continue for 3 weeks until symptoms fully controlled
Continue until

Question 6

Management of GCA

Answer 6

60mg pred

Question 8

Serious side effects of steroids/when are you worried

Answer 8

Addisons - if you suddenly stop steroids it is really bad
Cushings
Diabetes
Immunosuppression
Osteoporosis

Question 9

What meds would you add to long term steroids to reduce the risk + other important stuff

Answer 9

Bisphosphonate - work out FRAX score and DEXA scan
Gastroprotection - PPI
Have a steroid card

Question 10

When to refer

Answer 10

If under 60yr
Chronic onset
ESR over 100
Or poor response to steroids

Question 11

Can you get GCA even with PMR management?

Answer 11

Yes you can get GCA even with PMR management