RESUMO
El dolor lumbar es uno de los motivos de consulta más frecuentes en atención primaria. A veces, realizar un buen diagnóstico diferencial no es fácil, ya que el número de patologías que pueden expresarse con dicha clínica es muy amplia y no siempre está indicada una prueba complementaria o una derivación al hospital de referencia. A continuación se presenta un caso clínico de una paciente mujer de 59años con antecedente de dislipemia en tratamiento con ezetimiba, que reconsulta por dolor lumbar irruptivo, orientándose finalmente como úlcera penetrante de aorta abdominal, tratada endovascularmente desde el servicio de cirugía vascular. El caso clínico pretende ofrecer una visión general del tratamiento agudo del síndrome aórtico, mostrando las diferencias frente al manejo de otras patologías frecuentes en atención primaria con la misma expresión clínica. (AU)
Low back pain is one of the most frequent reasons for consultation in primary care. Sometimes it is not easy to make a good differential diagnosis, because the number of pathologies that can express themselves with such symptoms is very wide and a complementary test or referral to the reference hospital is not always indicated. The following is a clinical case of a 59-year-old female patient with a history of dyslipidemia treated with ezetimibe, who consulted again for breakthrough low back pain, which was finally diagnosed as a penetrating ulcer of the abdominal aorta, treated endovascularly by the vascular surgery service. The clinical case aims to provide an overview of the acute treatment of aortic syndrome, showing the differences compared to the management of other common pathologies in primary care with the same clinical expression. (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Cólica Renal , Dor Lombar/tratamento farmacológico , Dor Lombar/patologia , Doenças da Aorta/diagnóstico por imagem , Aneurisma , DissecaçãoRESUMO
Low back pain is one of the most frequent reasons for consultation in primary care. Sometimes it is not easy to make a good differential diagnosis, because the number of pathologies that can express themselves with such symptoms is very wide and a complementary test or referral to the reference hospital is not always indicated. The following is a clinical case of a 59-year-old female patient with a history of dyslipidemia treated with ezetimibe, who consulted again for breakthrough low back pain, which was finally diagnosed as a penetrating ulcer of the abdominal aorta, treated endovascularly by the vascular surgery service. The clinical case aims to provide an overview of the acute treatment of aortic syndrome, showing the differences compared to the management of other common pathologies in primary care with the same clinical expression.
