Commonly Used Antibiotics in the Outpatient Setting By: Raymond Lengel, MSN, FNP, RN Purpose: This course will provide an overview of the antibiotics most commonly ordered by primary care providers for common conditions in the outpatient setting. Objectives: â¢ List three major problems associated with the use of antibiotics
New onset bilateral shoulder pain, stiffness, functional impairment, and constitutional symptoms such as fatigue, night sweats, weight loss, and fever are characteristic clinical features of polymyalgia rheumatica (PMR), the second most common inflammatory rheumatic disease of older people.
The classic symptoms include: 1  Pain and stiffness (moderate to severe) in the neck, shoulders, upper arms, thighs, and hips, which inhibits activity, especially in the morning/after sleeping. 2  Fatigue and lack of appetite (possibly leading to weight loss) are also indicative of polymyalgia rheumatica. 3  Anemia.