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master's thesis
Pristup pacijentu s križoboljom u ambulanti obiteljske medicine
2017. urn:nbn:hr:184:114594
Santini, Vedrana
University of Rijeka
Faculty of Medicine
Department of Family Medicine

Cite this document

Santini, V. (2017). Pristup pacijentu s križoboljom u ambulanti obiteljske medicine (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:114594

Santini, Vedrana. "Pristup pacijentu s križoboljom u ambulanti obiteljske medicine." Master's thesis, University of Rijeka, Faculty of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:184:114594

Santini, Vedrana. "Pristup pacijentu s križoboljom u ambulanti obiteljske medicine." Master's thesis, University of Rijeka, Faculty of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:184:114594

Santini, V. (2017). 'Pristup pacijentu s križoboljom u ambulanti obiteljske medicine', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 24 December 2024, https://urn.nsk.hr/urn:nbn:hr:184:114594

Santini V. Pristup pacijentu s križoboljom u ambulanti obiteljske medicine [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2017 [cited 2024 December 24] Available at: https://urn.nsk.hr/urn:nbn:hr:184:114594

V. Santini, "Pristup pacijentu s križoboljom u ambulanti obiteljske medicine", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2017. Available at: https://urn.nsk.hr/urn:nbn:hr:184:114594

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Metadata
TitlePristup pacijentu s križoboljom u ambulanti obiteljske medicine
AuthorVedrana Santini
MentorInes Diminić-Lisica (mentor)
Committee memberLeonardo Bukmir (predsjednik povjerenstva)
Committee memberAleksandar Ljubotina (član povjerenstva)
Committee memberBranislava Popović (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Family Medicine)
Rijeka
Defense date and country2017-07-14, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Family Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Abstract
Križobolja je bol, nelagoda ili ukočenost u području leđa između rebrenih lukova i donje glutealne brazde kao i prenesena bol u nogu (ishijalgija). Dijeli se na: nespecifičnu križobolju, križobolju povezanu s radikulopatijom i križobolju povezanu s drugim specifičnim uzrokom. Nespecifična križobolja je najčešća, čini 85% svih slučajeva. Tijekom uzimanja anamneze i fizikalnog pregleda važno je isključiti simptome i znakove koji mogu ukazivati na ozbiljnu etiologiju križobolje tzv. simptome „crvene zastave“. Ako se posumnja na ozbiljnu patologiju, pacijent se upućuje liječniku specijalistu (izbor specijalista ovisi o simptomima). Radiološka dijagnostika i dodatne pretrage nisu potrebne kod pacijenata s nespecifičnom križoboljom i križoboljom s radikulopatijom u prvih 4 – 6 tjedana. Najčešći uzroci nespecifične križobolje su: istegnuće mišića i ligamenata, degenerativne promjene, spondiloliza i spondilolisteza; najčešći uzroci križobolje s radikulopatijom su hernijacija diska i spinalna stenoza. Križobolje uzrokovane drugim, specifičnim uzrokom su rijetke, a potencijalni uzroci su mnogobrojni. Psihogena i psihosomatska križobolja zahtijevaju multidisciplinarni pristup. U dijagnozi mogu pomoći alat za probir pacijenata sa simptomima „žutim zastavama“ i Waddellovi znakovi. Liječenje nespecifične križobolje i križobolje s radikulopatijom je medikamentozno - nesteroidnim antireumaticima ili paracetamolom i miorelaksansima, uz ostale preporuke. Pacijenta treba naručiti na kontrolu za 1-3 tjedna, educirati ga o mjerama prevencije.
Abstract (english)
Low back pain is the pain, discomfort or stiffness in the back between coastal margin and gluteal folds as well as referred pain to the leg (ischialgia). It is divided into: non-specific back pain, back pain associated with radiculopathy and back pain associated with another specific cause. Non-specific low back pain is the most common type, it makes 85% of all cases. It is important to exclude „red flags“ – symptoms and signs that could indicate serious etiology of back pain while taking history and during physical examination. If serious pathology is suspected, patient should be reffered to a specialist. Radiological diagnostics and additional tests are not necessary in patients with non-specific low back pain and low back pain with radiculopathy in the first 4-6 weeks. The most common causes of non-specific low back pain are: muscle and ligament strain, degenerative changes, spondylolysis and spondylolisthesis. The most common causes of back pain with radiculopathy are disc herniation and spinal stenosis. Back pain caused by other, specific causes is rare and potential causes are numerous. Psychogenic and psychosomatic back pain require multidisciplinary approach . "Yellow flags" and Waddell signs can help in diagnosis. Non-specific low back pain and back pain with radiculopathy are treated with NSAIDs or acetaminophen and muscle relaxants, along with other recommendations. The patient must be instructed to come for reevaluation in 1-3 weeks. Patient should also receive education on preventive measures.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:114594
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2018-06-14 08:29:47