Q:

A 54 year old lady presents with sudden severe pain in the left half of her skull. She also complains of pain around her jaw. What is the most likely next step?

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A 54 year old lady presents with sudden severe pain in the left half of her skull. She also complains of pain around her jaw. What is the most likely next step?


  1. CT
  2. MRI
  3. Fundoscopy
  4. ESR
  5. Temporal artery biopsy

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The key is D. ESR. [Elderly lady with severe pain in the left half of her skull and pain around jaw is suspicious of Giant cell or Temporal arteritis. ESR if markedly raised supports the diagnosis of temporal arteritis].

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