Ophthalmologymiddle twist
A 74-year-old woman has had a new right-sided headache for three weeks and says her scalp is sore when she brushes her hair. She has begun stopping halfway through a steak because her jaw aches. Yesterday the vision in her right eye greyed out for about ten minutes and then came back. Today acuity is 6/6 in each eye and both optic discs look normal. The erythrocyte sedimentation rate is 78 mm/h. A temporal artery ultrasound is booked for tomorrow. Which one of the following corticosteroid regimens should be started today?