1st November 2021

A 60-year-old woman presents to the GP with bilateral shoulder stiffness for 6 months

A 60-year-old woman presents to the GP with bilateral shoulder stiffness for 6 months. Her GP did some blood tests  (rheumatoid factor came back negative) and started her on low-dose prednisolone. One month later, she reports that there has been no improvement. She also has stiffness in her metatarsal joints on both feet. From her GP’s point of view, what is the next step?

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