Question

A 75-year-old woman presents with a 4-week history of bilateral shoulder and hip girdle stiffness and pain, worse in the morning (lasting >1 hour). ESR 65 mm/hr. What is the most appropriate initial management?

Accepted Answer

Prednisolone 15mg OD

Answer

High-dose Ibuprofen

Answer

Methotrexate

Answer

Prednisolone 60mg OD

Answer

Urgent temporal artery biopsy

Practice question

A 75-year-old woman presents with a 4-week history of bilateral shoulder and hip girdle stiffness and pain, worse in the morning (lasting >1 hour). ESR 65 mm/hr. What is the most appropriate initial management?