Assuntos
Humanos , Masculino , Feminino , Otolaringologia/tendências , Transtornos da Comunicação/diagnóstico , Medicina Física e Reabilitação/educação , Distúrbios da Voz , Transtornos de Deglutição , Epidemiologia Descritiva , Espanha , Reabilitação , Serviços de Reabilitação , Estudos Transversais , Inquéritos e QuestionáriosRESUMO
Aproximadamente el 70% de los adultos experimentarán dolor lumbar en algún momento de su vida. En la mayoría de los casos no se puede identificar una causa, tratándose de algias inespecíficas. Las guías clínicas sobre el manejo del dolor lumbar indican sospechar la presencia de procesos graves mediante las denominadas banderas rojas (red flags). El aneurisma de aorta abdominal en el 91% de los casos se acompaña de dolor lumbar, de allí su importancia de incluirlo como diagnóstico diferencial. Exponemos el caso de un varón de 75años con dolor lumbar, sin mejoría con tratamiento conservador, derivado a consulta de rehabilitación 3meses después del inicio de los síntomas, y ante signos de alarma se solicitan estudios de imagen que evidencian aneurisma de aorta abdominal y masa renal derecha. Debemos tener presente las banderas rojas en pacientes con lumbalgia y así evitar desenlaces que pueden poner en riesgo su vida.(AU)
Approximately 70% of adults will experience low back pain at some point in their life. Most of the cases cannot be identified a cause, being nonspecific pains. The clinical guidelines on the management of low back pain indicate suspecting the presence of serious processes by means of the so-called red flags. Abdominal aortic aneurysm in 91% of cases is accompanied by low back pain, hence its importance of including it as a differential diagnosis. We present the case of a 75-year-old man with low back pain, without improvement with conservative treatment, referred to a rehabilitation consultation 3months after the onset of symptoms, and in the event of warning signs, imaging studies are requested that show abdominal aortic aneurysm and mass right kidney. We must bear in mind the red flags in patients with low back pain, and thus avoid outcomes that can put their lives at risk.(AU)
Assuntos
Humanos , Masculino , Idoso , Dor Lombar/complicações , Dor Lombar/diagnóstico por imagem , Dor Lombar/diagnóstico , Aneurisma da Aorta Abdominal/complicações , Pacientes Internados , Dislipidemias/tratamento farmacológico , Tabagismo , Fumantes , Reabilitação , Manejo da Dor , EspanhaRESUMO
Approximately 70% of adults will experience low back pain at some point in their life. Most of the cases cannot be identified a cause, being nonspecific pains. The clinical guidelines on the management of low back pain indicate suspecting the presence of serious processes by means of the so-called red flags. Abdominal aortic aneurysm in 91% of cases is accompanied by low back pain, hence its importance of including it as a differential diagnosis. We present the case of a 75-year-old man with low back pain, without improvement with conservative treatment, referred to a rehabilitation consultation 3months after the onset of symptoms, and in the event of warning signs, imaging studies are requested that show abdominal aortic aneurysm and mass right kidney. We must bear in mind the red flags in patients with low back pain, and thus avoid outcomes that can put their lives at risk.
