Answer 49

49.  Choice B is the correct answer.  Temporal arteritis presents in older patients usually with unilateral headache, vision disturbance and elevated ESR.  Definitive diagnosis is made with temporal artery biopsy.  Temporal arteritis is treated with corticosteroids.  Migraine headache would not give you an elevated ESR.  Some patients get vision changes with their migraines.  It is concerning if this is a new type of headache.  Pseudotumor Cerebri gives more of a diffuse headache and vision changes are on both sides because of edema around the optic nerve.