1st November 2021

A 52-year-old woman presents to her GP with 6 weeks of increasing fatigue and decreased capability to cope at home alone

A 52-year-old woman presents to her GP with 6 weeks of increasing fatigue and decreased capability to cope at home alone. She has been having to rely on her daughter for grocery shopping and personal care as she feels that she has very stiff and painful shoulders. The stiffness is worst in the morning but lasts more than an hour. She reports a weight loss of 3kg over 3 months. What is the next appropriate investigation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.