Question

A 72-year-old woman presents with unilateral temporal headache, jaw claudication and visual disturbance. ESR is markedly raised. What is the most appropriate immediate management?

Accepted Answer

Start high-dose oral Prednisolone immediately and arrange urgent ophthalmology review

Answer

Wait for temporal artery biopsy before starting steroids

Answer

Start low-dose Prednisolone 5 mg daily

Answer

Give Aspirin only and refer routinely

Answer

Reassure and review in 1 week

Practice question

A 72-year-old woman presents with unilateral temporal headache, jaw claudication and visual disturbance. ESR is markedly raised. What is the most appropriate immediate management?