Polymyalgia Rheumatica Flashcards
What is Polymyalgia Rheumatica?
Inflammatory condition which causes pain and stiffness in shoulders, pelvic girdle and neck
Polymyalgia rheumatica has strong link to?
Giant Cell Arteritis
Presentation of Polymyalgia Rheumatica
Pain and stiffness in shoulders, pelvic girdle and neck
Worse in morning
Worse with rest or inactivity
Interfere with sleep
Takes 45 minutes to ease in morning
Diagnosis for Polymyalgia Rheumatica is based on?
Clinical presentation
Response to steroids
Excluding differentials
Treating Polymyalgia Rheumatica
Prednisolone
Steroid Management?
Steroid dependence occurs after 3 weeks and risk of abruptly stopping = adrenal crisis
Sick Day Rules
Treatment Card
Osteoporosis prevention
PPI for Gastroprotection