Case 2: Additional Diagnostic Testing

Case 2 Index

Additional lab results:
ESR = 85
CRP = 15.99

Click to view the results of the imaging studies
Carotid artery duplex ultrasound
There is no significant atheromatous plaque on right or left. No evidence of hemodynamically significant stenosis in the right or left internal carotid artery.
Transthoracic echocardiogram (TTE)
Normal left and right ventricular systolic function. No valvular regurgitation or stenosis.
Click below to view the temporal artery biopsy, think about how you would describe it, and then click reveal the pathologist’s read!
Temporal artery biopsy
Image from “The Eyes Have it” website by Jonathan Trobe, M.D., Kellogg Eye Center, University of Michigan Health System. Click on image for link.
Pathologist’s interpretation
Mural inflammation with giant cells and fragmentation of the internal elastic lamina.

Click here to reveal the final diagnosis and teaching points!

Case 2 Index
Case 2 Introduction
Case 2 Review of Systems
Case 2 Physical Exam
Case 2 Diagnostic Testing