Hey what's going on guys welcome to episode 35 of the physician assistant boards

podcast today's topic is going to be giant cell arthritis also known as

temporal arthritis now before we get started just a really quick I guess fun fact

trivia for you guys if you guys even care but temporal arthritis a little bit of a

misnomer right it's not called temporal arteritis because it's not called temporal arteries that are involved. It's just that those are the most easily accessible.

So when you're actually doing a biopsy, you're going to do a biopsy of the temporal arteries because that's what's right there that's what's easily accessible for biopsy

It's also seen on physical exam and we'll get into the physical exam features a little bit later

But that's really the reason why it was

termed temporal arteritis. But it doesn't localize to the temporal arteries. This is actually a chronic

vasculitis of the large and medium vessels, so any of those vessels will actually be involved.

So just a quick fun fact I guess for you guys will not help you in your boards, this will not help you

in clinical practice whatsoever.

So if you want to forget it, you can go ahead and forget it.

Just thought it would be a quick little fun fact for you guys to kind of digest.

But yeah, all right, so let's get into Giant Salt Arteritis, which is actually the preferred terminology.

And like I said, this is a chronic vasculitis of the large and medium-sized vessels.

Now, the most commonly involved vessels is not the temporal arteries. it's going to be the cranial

branches of the arteries originating from the aortic arch. Now it's not even the

temporal arteries that lead to the most feared complication, which is blindness.

So remove temporal

arthritis from your brain, replace it with giant cell arthritis and realize that

it's a chronic vasculitis of large and medium size the vessels.

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