10. Choice C is the correct answer. This patient has temporal arteritis. Definitive diagnosis is made by temporal artery biopsy in surgery. This patient needs to be started on high dose steroids as soon as possible to help prevent vision loss. Hydrocodone and fioricet with codeine would help with the pain but would not address the underlying problem. Imitrex would be appropriate if the patient just simply had a migraine. A patient with a migraine would not have a ESR of 130.
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