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A 73-year-old man was admitted to the hospital because of leg pains, occipital headaches, and night sweats.
He had been in good health until two months earlier, when he began to experience episodes that began with a sensation of "cold feet," followed by a right-sided occipital headache and then by bilateral knee, calf, and ankle pain with "throbbing" in the affected bones. The headache was dull and was relieved by acetaminophen (650 mg) after 15 minutes. At that point, he would fall asleep, only to awaken 45 minutes later with sweating that was profuse on most nights, accompanied by a
Differential Diagnosis
Epidemiology
History
Fever
Headache
Constitutional Symptoms
Physical Examination
Laboratory Data
Erythrocyte Sedimentation Rate
Serum Ferritin Level
Liver-Function Tests
Absent Clinical Features
Temporal-Artery Biopsy
Clinical Diagnosis
Dr. William P. Docken's Diagnosis
Pathological Discussion
Anatomical Diagnosis
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