Treatment should focus on the underlying etiology behind these processes
Andrew G. Lee, MD
Giant cell arteritis (GCA) is a systemic vasculitis that produces a granulomatous inflammation of large- and medium-sized-arteries, most commonly involving the aorta and extracranial branches of the carotid arteries.1,2,3,4
The apprenticeship model suffers from inherent limitations that have called into question not only the safety but the quality, appropriateness, and effectiveness of the training model for residents. External stakeholders in the educational process, including the public, the payers, and the government, have called for reform in the graduate medical education process and for transformation from the apprenticeship model to a competency-based model of education.
It's 4:55 p.m. on a Friday, last patient of the day-a 50-year-old man with diabetes and hypertension with new-onset right-sided ptosis and diplopia. Examination reveals a right third nerve palsy (TNP). What is the next most appropriate step?