John Bielinski, MS PA-C 
You have to know rheumatology for the PANCE and PANRE preparation. Polymyalgia rheumatics is an infrequently occurring, inflammatory condition that causes pain or aching in the large muscle groups, especially around the shoulders and hips.
Onset of polymyalgia rheumatica tend to develop quickly and in addition myalgias, other symptoms that may be on your PANCE exam may include:
Stiffness:
• Shoulders and hips
• Especially in the morning & after resting
Weakness
Fatigue
Generally feeling ill/fever/weightloss
This is often associated with giant cell arteritis.
What Is Temporal Arteritis?
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About 15% of people with polymyalgia rheumatica also have temporal arteritis and about half of people with temporal arteritis also have polymyalgia rheumatica.
Temporal arteritis causes inflammation that damages large and medium-sized arteries. The name of the condition stems from the fact that some of the affected arteries provide blood to the head, including the temples. Temporal arteritis is also known as “giant cell arteritis.”
Buzz words on the boards are elderly people, usually female, with headache, jaw claudication and vision issues. They will also have shoulder and pelvic pain.
ESR will help make the diagnosis as a preliminary test, yet difitinive test is biopsy.
Treatment is high dose steroids to prevent blindness.
