A 72-year-old woman with a past medical history of diabetes…

A 72-year-old woman with a past medical history of diabetes and obesity presents to the clinic with joint pain. She has severe pain in both of her knees for which she has been taking ibuprofen daily. Her temperature is 98.2°F (36.8°C), blood pressure is 177/109 mmHg, pulse is 80/min, respirations are 15/min, and oxygen saturation is 98% on room air. Physical exam is notable for the finding in the image (see below). Radiography of the knee shows narrowing of the joint space. Which of the following is the most likely diagnosis?

A 70-year-old woman presents to the emergency department for…

A 70-year-old woman presents to the emergency department for evaluation of headache. She states that she has had headaches intermittently over the last several days over her right temple and jaw. She states that her pain is worse when chewing food. She also reports that she has been seeing “black spots” in her visual fields over the last few days intermittently. She has a history of hypertension, polymyalgia rheumatica and atrial fibrillation. Her temperature is 100.4°F (38.0°C), pulse is 80, blood pressure is 135/80 mmHg, and respirations are 16/min. On exam, there is tenderness to palpation over the right temple and anterior scalp. No focal neurologic deficits are appreciated. ESR is 120 mm/hr. Which of the following is the most appropriate next step in management?