instruction: hello doctor my 85 year old father had mild pain in his thighs and shoulder girdle for two months which intensified in the past two weeks to a point that he could not get up from his bed he was started on oral steroids 30 my once daily for the past three days and has shown a 40 response but cannot stand blood tests were done yesterday showing normal serum electrolytes bilirubin ash and abc with some iron deficiency raised values are cpu 272 bun 50 got 50 sept 100 and leukocytes 2900 his he is and eosinophilia 42 since before kindly suggest the diagnosis
output: hello well as per your history it does look like a diagnosis of polymyalgia rheumatic I would like to ask you a few more queries related to his illness when is the pattern of pain more mornings or evenings does he experience morning stiffness as well any history of weight loss or appetite loss any history of jaw pain or headache or fever do you have his reports of ear erythrocyte sedimentation rate cop reactive protein rheumatoid factor available as they are the most important to monitor and diagnose did they do any scans of the chest and abdomen as of now the reports do not seem very great with high leukocyte count and low he diagnosis of polymyalgia rheumatic looks certain but we should rule out any underlying trigger