Polymyalgia Rheumatica Diagnostic Criteria - Medical Algorithm

Are you evaluating a patient for evidence of polymyalgia rheumatica?

Yes

Age of the patient

years

Number of days between disease onset and full clinical expression

Duration of morning stiffness

minutes

Initial ESR

mm in first hour

Since the onset of the disease has the patient?

• become depressed?

Yes

• lost weight?

Yes

• developed bilateral shoulder pain and/or stiffness?

Yes

• developed tenderness in the upper arms?

Yes

Does the patient have temporal arteritis?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of the criteria present

Does the patient meet the criteria for probably polymyalgia rheumatica?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Imaging Studies
Laboratory Tests
Other Testing
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

Criteria of Bird et al for Polymyalgia Rheumatica

Purpose: To evaluate a patient for clinical evidence of polymyalgia rheumatica using the criteria of Bird et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10