Polymyalgia Rheumatica Disease Scoring | Medical Algorithm

Are you evaluating a patient for polymyalgia rheumatica?

Yes

Age of the patient

years

Does the patient have aching in both shoulders?

Yes

Is the serum CRP elevated?

Yes

Is the ESR elevated?

Yes

Duration of morning stiffness

minutes

Does the hip show pain and/or limited range of motion?

Yes

Number of joints other than shoulder or hip with pain

Is the serum RF positive?

Yes

Is the serum anti-citrullinated protein antibody positive?

Yes

Does the left shoulder show subdeltoid bursitis, biceps tendosynovitis or glenohumeral synovitis on US?

Yes

Does the right shoulder show subdeltoid bursitis, biceps tendosynovitis or glenohumeral synovitis on US?

Yes

Does the left hip show synovitis and/or trochanteric bursitis on US?

Yes

Does the right hip show synovitis and/or trochanteric bursitis on US?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of selection criteria met

Total score without US findings

Does the patient meet criteria for PMR without US findings?

Total score with US findings

Does the patient meet criteria for PMR with US findings?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Imaging Studies
Laboratory Tests
Other Testing
- Risk Factors for Giant Cell Arteritis in Women
- Temporal Artery Biopsy Following Duplex Ultrasonography Indications
Criteria For Diagnosis
Differential Diagnosis And Mimics, Red Flags
- Risk Factors for Giant Cell Arteritis in Women
- Clinical Features of Temporal (Giant Cell) Arteritis

Therapy

Options
- Temporal Arteritis Evaluation
Prevention

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Polymyalgia Rheumatica (PMR) Disease Scoring

Purpose: To evaluate a patient for polymyalgia rheumatica (PMR) using the 2012 EULAR/ACR criteria.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10