A 55 year old female patient presents with pain in her neck and both shoulders and fatigue. CRP and ESR are elevated. What do you suspect and what is the preferred treatment?

A. Fibromyalgia

B. Polymyalgia rheumatica

The correct answer is B. This is a typical presentation of this condition. The preferred treatment is corticosteroids. Answer A- fibromyalgia causes pain all over the body also known as widespread pain, sleep disturbances, fatigue, and often emotional and mental distress. Answer C- foraminal disc herniation usually presents with symptoms related to the affected nerve root and CRP and ESR are not elevated.

C. Foraminal disc herniation

A 55 year old female patient presents with pain in her neck and both shoulders and fatigue. CRP and ESR are elevated. What do you suspect and what is the preferred treatment?

A 55 year old female patient presents with pain in her neck and both shoulders and fatigue. CRP and ESR are elevated. What do you suspect and what is the preferred treatment?

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