A 72-year-old woman presents with new-onset headache, scalp tenderness and jaw claudication. ESR is 90 mm/h. Visual symptoms are intermittent blurring...

Question

A 72-year-old woman presents with new-onset headache, scalp tenderness and jaw claudication. ESR is 90 mm/h. Visual symptoms are intermittent blurring. What is the most appropriate immediate management?

Accepted Answer

Start high-dose oral prednisone and arrange urgent temporal artery biopsy

Answer

Await temporal artery biopsy before starting treatment

Answer

Start low-dose aspirin only

Answer

Treat with NSAIDs and review in 1 week

Answer

Reassure and discharge without treatment

au-racgp MCQ (SBA): Temporal arteritis high-dose steroids

A 72-year-old woman presents with new-onset headache, scalp tenderness and jaw claudication. ESR is 90 mm/h. Visual symptoms are intermittent blurring. What is the most appropriate immediate management?