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afya
PMR
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> Chronic Inflammation with bilateral pain and stiffness of shoulder and hip esp in morning lasting >45 mins Not weakness rapid onset (<1/12) but >2/52 raised inflammatory markers beware - infection, cancer, drugs (statins) temporal arteritis - headache, jaw claudication, visual disturbance Ix - ESR, CRP, FBC also to exclude other condition - protein electrophoresis and bence Jones protein (myeloma), RhF, LFT Ca, U/E TSH Creat Kinase, ANA CXR, urine dip should get good response to 15mg pred daily within 1/52
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Musculoskeletal