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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