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MediumRheumatologyPolymyalgia rheumaticaca-mccqe1ca-rcpsc-im

A 68-year-old woman presents with gradual onset bilateral shoulder stiffness and aching, worse in the morning, with morning stiffness lasting over an hour. She also has hip girdle pain. ESR is elevated. There are no small joint erosions or rheumatoid factor. She has difficulty rising from a chair due to pain but no true muscle weakness. What is the most likely diagnosis and initial treatment?

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