RESUMO
El vértigo es un síntoma común que puede tener diversas causas y requerir un enfoque integral para su diagnóstico y tratamiento desde atención primaria. Se propone un algoritmo de diagnóstico basado en la clasificación propuesta por la Comisión de Otoneurología de la SEORL-PCF, que facilita la clasificación de los diferentes tipos de vértigo y proporciona criterios de derivación de pacientes desde atención primaria hacia otras especialidades. Se realiza una revisión de los tratamientos disponibles basada en la causa subyacente para un manejo terapéutico adecuado. Se espera que este documento se convierta en una herramienta valiosa para los profesionales que atienden a pacientes con vértigo. El documento se basa en evidencia científica y en la experiencia de expertos en el campo de las diferentes especialidades médicas implicadas; y busca mejorar la comprensión y el abordaje clínico del vértigo agudo desde atención primaria.(AU)
Vertigo is a common symptom that can have various causes and may require a comprehensive approach for its diagnosis and treatment from primary care. A diagnostic algorithm based on the classification proposed by the Otoneurology Commission of the SEORL-PCF is suggested, which facilitates the classification of the different types of vertigo and provides referral criteria for patients from primary care to other specialties. A review of the available treatments based on the underlying cause is conducted for appropriate therapeutic management. This document is expected to become a valuable tool for professionals treating patients with vertigo. The document is based on scientific evidence and on the experience of experts in the field from various medical specialties; and seeks to improve the understanding and clinical approach to acute vertigo from primary care.(AU)
Assuntos
Humanos , Masculino , Feminino , Atenção Primária à Saúde , Algoritmos , Vertigem/diagnóstico , Vertigem/tratamento farmacológico , OtolaringologiaRESUMO
Vertigo is a common symptom that can have various causes and may require a comprehensive approach for its diagnosis and treatment from primary care. A diagnostic algorithm based on the classification proposed by the Otoneurology Commission of the SEORL-PCF is suggested, which facilitates the classification of the different types of vertigo and provides referral criteria for patients from primary care to other specialties. A review of the available treatments based on the underlying cause is conducted for appropriate therapeutic management. This document is expected to become a valuable tool for professionals treating patients with vertigo. The document is based on scientific evidence and on the experience of experts in the field from various medical specialties; and seeks to improve the understanding and clinical approach to acute vertigo from primary care.
Assuntos
Encaminhamento e Consulta , Vertigem , Humanos , Consenso , Vertigem/diagnóstico , Vertigem/etiologia , Vertigem/terapia , Atenção Primária à Saúde , AlgoritmosRESUMO
La rinosinusitis aguda representa un importante problema de salud, y, aunque su frecuencia no está bien establecida en nuestro país, es motivo de una no desdeñable carga económica, alterando notablemente la calidad de vida de los pacientes que la padecen. Su diagnóstico es eminentemente clínico, debiendo reservar las exploraciones complementarias para el diagnóstico diferencial de las complicaciones y de procesos tumorales. Las causas más frecuentes son las infecciones, siendo los virus los agentes más comunmnte implicados. De entre las bacterias Streptococcus pneumoniae y Haemophilus influenzae son las más habitualmenta aisladas. Hoy las complicaciones no son frecuentes, pero sí pueden llegar a ser graves, de las cuales las más comunes son las orbitarias, seguidas de las endocráneales y las óseas. El tratamiento se basa en médidas sintomáticas, como los lavados con soluciones salinas y antibióticos para los casos de etiología bacteriana. Management of Rhinosinusitis in Primary Care
Acute rhinosinusitis is an important health problem. Even though its frequency is not well documented in our country?, the economic burden it bears is not insignificant as it notably alters the quality of life of affected patients. Its diagnosis is generally clinical in nature, with further studies reserved only for the differential diagnoses of complications or tumour-like processes. The most frequent causes are viral infections, although Streptococcus pneumoniae and Haemophilus influenzae are the most commonly isolated bacterial agents. Although complications are uncommon nowadays, they can be serious when they occur, and commonly include orbital infections, closely followed in frequency by intracranial and bone infections. Treatment should consist of symptomatic measures, like saline rinses and antibiotics in cases of bacterial origin
