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Rheumatology
Temporal Artery Biopsy

Temporal Artery Biopsy

Information to be provided on the e-referral for Temporal Artery Biopsy

  1. History
    • Age > 50 years
    • New onset headache
    • Scalp tenderness
    • Jaw / tongue claudication
    • Visual symptoms: amaurosis fugax, diplopia, visual loss
    • Constitutional symptoms: fevers, night sweats, weight loss*
      • * excluded infection and malignancy
    • Previous polymyalgia rheumatica (PMR)
  1. Examination
    • Temporal Artery
      • Tender to palpation
      • Absent pulsations
      • Thickened or beaded temporal arteries
      • Other clinical features
    • Date of ESR or CRP (within last 7 days and prior to prednisone dose escalation)
    • List all medical cormorbidities
    • List all current medications, in particular blood thinners
    • Prednisone - Date initiated and current dose.
    • Verbal consent for referral to the temporal artery biopsy service

Please give the patient a print-out of the Patient Information Sheet.

  1. Resources

Disclaimer: These pathways, for the care and management of patients within Bay of Plenty, have been developed jointly by primary and secondary care clinicians. They provide guidance for General Practice teams to diagnose and manage patients suffering from a number of different conditions, and contain patient information resources. The pathways are maps of publicly-funded services accessed by referral from the community, and are strongly evidence based, but are not full clinical guidelines. As the pathways are suggested guidance only, while using them you must exercise your own clinical judgement and pertinent clinical data when treating your patient. This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.