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Development of polymyalgia rheumatica during hospitalization and diagnosis based on history taking by physical and

Hiroki Isono1,2, Yuri Ito1, Noriko Takamura1

  • 1Department of Medicine Mito Kyodo General Hospital University of Tsukuba Mito Ibaraki Japan.

Journal of General and Family Medicine
|January 12, 2019
PubMed

Insights

Polymyalgia rheumatica (PMR) can occur during hospitalization, presenting diagnostic challenges in elderly patients. Early recognition by healthcare professionals is crucial for accurate inpatient diagnosis.

Area of Science:

  • Rheumatology
  • Internal Medicine
  • Geriatrics

Background:

  • Polymyalgia rheumatica (PMR) is common in outpatient settings, characterized by pain, stiffness, fever, and fatigue.
  • The clinical presentation and diagnosis of PMR during hospitalization remain largely undocumented.

Observation:

  • This report details a unique case of polymyalgia rheumatica (PMR) developing in a patient during their hospital stay.
  • Diagnosing PMR in hospitalized elderly patients is challenging due to difficulties in obtaining comprehensive symptom histories.

Findings:

  • PMR diagnosis requires careful evaluation of established inclusion and exclusion criteria.
  • Healthcare professionals, including physical and occupational therapists, play a vital role in identifying symptomatic diagnoses in inpatients.

Implications:

  • This case highlights the need to consider PMR in the differential diagnosis of unexplained symptoms in hospitalized patients.
  • Enhanced interdisciplinary communication and history-taking strategies are essential for timely and accurate inpatient PMR diagnosis.
Keywords:
history takinginflammatory responseoccupational therapistphysical therapistpolymyalgia rheumaticarehabilitation

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