Review Question - QID 220286

A 33-year-old woman presents to her primary care physician with a 5 month history of abdominal discomfort. The pain in her bowels builds up over time and is partially relieved with defecation. There is pain in her muscles that is shown in Figure A. These symptoms have become quite distressing to her, and she now has insomnia as well as increasing fatigue. Her work performance is suffering, and she no longer enjoys hobbies such as hiking. She denies fever, chills, vision changes, stiffness, or temporal scalp tenderness. She has no significant m...