Headache and loss of vision (487/1700)

A 62yo lady presents with right sided headache and loss of vision. What is the single most inv?
a. ESR
b. BUE
c. CT head
d. XR orbit
e. IOP

Answer: A

Temporal arteritis
age > 50
Females >>

C/P

  • Temporal headache +/- Scalp inflammation
  • Sudden painless loss of vision /diplopia
  • Jaw Claudication
    Late
  • Aortic arch syndrome : pulseless disease
  • Aortic aneurysm

Inv

  • High ESR
  • Tempral artery biopsy (giant cells, mononucleaur cells)

Treatment

  • Immediate High dose Prednisone
  • low dose aspirin