No activity today, make something!
afya
PolymyalgiaRheumatica
Markdown Help
Search globally
Save Tiddler
Revert Changes
Cancel Edit
<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Chronic Inflammation in over 50yrs Pain/stiffness worse in mornings (lasts >45 mins), esp shoulders and hips (Bilat shoulder/pelvic girdle ache) abrupt onset, Sx>2/52 age over 50 raised ESR/CRP exclude ... active infection, active cancer inflammatory conditions giant cell arteritis (headache, visula change, jaw claudication) drug induced eg statins Mx prednisolone 15-20mg od with global response within 1/52 and bloods normal by 4/52 reduce by 5mg every month till 5mg od, then by 1mg as to Sx usually 18/12 before off steroids remember bone protection and stomach protection Screen RhF, Myeloma (electrophoresis and BenceJones protein), LFT, U/E, CreatKinase, Ca, Alk Phos, CXR
Autocomplete tags from:
Global tags
Local tags
Musculoskeletal, TemporalArteritis