Polymyalgia Rheumatica Flashcards
1
Q
polymyalgia rheumatica
A
inflammatory condition affecting shoulders and hips
2
Q
signs
A
bilateral shoulder pain and hip pain weight loss fatigue fever older people affected normal power on resisted movement of shoulders
3
Q
investigations
A
bloods
ESR
bone profile
4
Q
management
A
15mg steroid
assess after a week for improvement
assess 3-4 weeks again and if improvement, start reducing dose
15mg until symptoms controlled
12.5 mg for a week
10 mg for 3 weeks
wean off 1mg every 4-8 weeks until off medication
5
Q
what needs to be done before starting prednisolone
A
series of investigations to rule out other differential diagnosis
6
Q
what condition is associated
A
GCA
7
Q
what are the levels of anti-CCP and CK
A
normal
