A 74-year-old woman presents with unilateral temporal headache and scalp tenderness for 3 weeks. She reports jaw claudication while eating. Vital signs show BP 158/92 mmHg, HR 88/min, temp 37.8°C. Labs reveal ESR 92 mm/hr and CRP 8.5 mg/dL. Vision remains intact without amaurosis fugax. She takes atorvastatin and aspirin. Which intervention best prevents the most serious complication of her condition?
- A)Schedule elective carotid endarterectomy
- B)Begin broad spectrum antibiotics after blood cultures
- C)Order coronary angiography
- D)Start high dose glucocorticoids immediatelyGABARITO
- E)Administer indomethacin for ductal closure
Explicação
Giant cell arteritis is a granulomatous vasculitis of large and medium arteries that can cause irreversible vision loss from ophthalmic artery involvement. Glucocorticoids should be started immediately when suspected, even before biopsy confirmation. Jaw claud... Ver explicação completa e trilha adaptativa →