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Case study – Edward

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This case study is an example of the type of case you might see in general practice. Use it alongside the general module information to help you through the process of assessing a patient with symptoms suggestive of PMR.

Edward is a 77-year-old man who presents with shoulder and hip pain and stiffness of six weeks' duration. He reports that he feels terrible, taking ages to get going in the morning and doesn’t really feel able to do much until after lunch time. He hasn't been sleeping well due to pain and has lost his appetite.

Edward's background

  • Smokes 10 a day
  • Retired shopfitter
  • Other medical problems:
    • hypertension
    • hyperlipidaemia
    • depression
    • chronic low back pain
    • pre-diabetes
    • generalised osteoarthritis
  • Medication:
    • amlodipine 10mg od
    • atorvastatin 40mg od
    • ramipril 10mg od
    • sertraline 100mg od
    • co-codamol 30/500mg 1–2 qds
    • piroxicam gel
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