Polymyalgia rheumatica physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

Physical examination of patients with polymyalgia rheumatica reveals limitation of the active and passive range of motion of the affected joint. There is no true muscle weakness. There are no changes in the joints. Ophthalmoscopic exams in patients with polymyalgia rheumatica associated with giant cell arteritis might be abnormal.

Physical Examination

Appearance of the patients

  • Patients with polymyalgia rheumatica usually appear in pain.

Vital signs

  • Hypothermia

HEENT

Lungs

  • Pulmonary examination of patients with polymylagia rheumatica is usually normal.

Heart

  • Cardiovascular examination of patients with polymylagia rheumatica is usually normal.

Musculoskeletal

References

  1. Casson RJ, Fleming FK, Shaikh A, James B (2001). "Bilateral ocular ischemic syndrome secondary to giant cell arteritis". Arch Ophthalmol. 119 (2): 306–7. PMID 11177002.
  2. Al-Abdulla NA, Kelley JS, Green WR, Miller NR (2003). "Herpes zoster vasculitis presenting as giant cell arteritis with choroidal infarction". Retina. 23 (4): 567–9. PMID 12972779.
  3. Borg FA, Salter VL, Dasgupta B (2008). "Neuro-ophthalmic complications in giant cell arteritis". Curr Allergy Asthma Rep. 8 (4): 323–30. PMID 18606086.
  4. Salvarani C, Cantini F, Hunder GG (2008). "Polymyalgia rheumatica and giant-cell arteritis". Lancet. 372 (9634): 234–45. doi:10.1016/S0140-6736(08)61077-6. PMID 18640460.