An elderly woman is evaluated in the emergency department for a new, excruciating headache localized to her right temple that began hours ago. The -year-old patient reports that earlier today, she lost all vision in her right eye for approximately minutes before it fully returned. Over the past month, she has struggled to get out of bed due to profound stiffness in her shoulders and hips that lasts until mid-day. Additionally, she notes that chewing food has recently become quite painful, prompting her to eat softer meals. Her temperature is . On physical examination, her right temporal scalp is exquisitely tender to touch. Initial laboratory evaluation shows an erythrocyte sedimentation rate of mm/h.
Which of the following is the most appropriate next step in the management of this patient?
- High-dose intravenous methylprednisoloneCevap
- BTemporal artery biopsy
- CLow-dose oral prednisone
- DNon-contrast CT scan of the head
- ECarotid duplex ultrasonography