Spinal Emergencies in Primary Care Practice
| Autor: | Shyam A. Patel, Alan H. Daniels, Jacob M. Babu, Mark A. Palumbo |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Delayed Diagnosis Cauda equina syndrome Primary care Cauda Equina Syndrome 030204 cardiovascular system & hematology Spinal epidural abscess Diagnosis Differential Sciatica 03 medical and health sciences 0302 clinical medicine Health care medicine Humans 030212 general & internal medicine Diagnostic Errors Intensive care medicine Myelography Primary Health Care business.industry Sequela General Medicine Blood Coagulation Disorders Decompression Surgical Hematoma Epidural Spinal medicine.disease Diagnostic strategy Key features Magnetic Resonance Imaging Anti-Bacterial Agents Debridement Epidural Abscess Emergencies Tomography X-Ray Computed business Spinal epidural hematoma |
| Zdroj: | The American Journal of Medicine. 132:300-306 |
| ISSN: | 0002-9343 |
| Popis: | Atraumatic spinal emergencies often present a diagnostic and management dilemma for health care practitioners. Spinal epidural abscess, cauda equina syndrome, and spinal epidural hematoma are conditions that can insidiously present to outpatient medical offices, urgent care centers, and emergency departments. Unless a high level of clinical suspicion is maintained, these clinical entities may be initially misdiagnosed and mismanaged. Permanent neurologic sequela and even death can result if delays in appropriate treatment occur. A focused, critical review of 34 peer-reviewed articles was performed to identify current data about accurate diagnosis of spinal emergencies. This review highlights the key features of these 3 pathological entities with an emphasis on appropriate diagnostic strategy to intervene efficiently and minimize morbidity. |
| Databáze: | OpenAIRE |
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