急性心肌梗死在物理治疗中的不寻常表现:来自病例报告的结果。

IF 2.1 Q1 REHABILITATION
Lorenzo Storari, Valerio Barbari, Fabrizio Brindisino, Marco Testa, Maselli Filippo
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引用次数: 5

摘要

背景:肩痛(SP)可能起源于肌肉骨骼和内脏疾病。物理治疗师(PT)可能会遇到危及生命的病理患者,模仿肌肉骨骼疼痛,如急性心肌梗死(AMI)。训练有素的PT应该能够区分肌肉骨骼或内脏起源的体征和症状,以便进行适当的医疗转诊。病例介绍:46岁男性,急性SP持续一周,在两次连续检查中被急诊科医生诊断为右痛肌骨肩综合征。然而,在经历了左侧疼痛的转移后,患者向PT提出。PT识别出内脏疼痛的体征和症状,并将他转介给全科医生,后者确定为心脏病。最终诊断为急性心肌梗死。结论:本病例报告强调了彻底的患者筛查检查的重要性,特别是对于在门诊治疗的患者,这可以区分肌肉骨骼和内脏疾病的体征和症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report.

An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report.

An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report.

An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report.

Background: Shoulder pain (SP) may originate from both musculoskeletal and visceral conditions. Physiotherapists (PT) may encounter patients with life-threatening pathologies that mimic musculoskeletal pain such as Acute Myocardial Infarction (AMI). A trained PT should be able to distinguish between signs and symptoms of musculoskeletal or visceral origin aimed at performing proper medical referral.

Case presentation: A 46-y-old male with acute SP lasting from a week was diagnosed with right painful musculoskeletal shoulder syndrome, in two successive examinations by the emergency department physicians. However, after having experienced a shift of the pain on the left side, the patient presented to a PT. The PT recognized the signs and symptoms of visceral pain and referred him to the general practitioner, which identified a cardiac disease. The final diagnosis was acute myocardial infarction.

Conclusion: This case report highlights the importance of a thorough patient screening examination, especially for patients treated in an outpatient setting, which allow distinguishing between signs and symptoms of musculoskeletal from visceral diseases.

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来源期刊
CiteScore
3.60
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