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