Clinical detection of abdominal aortic aneurysm in a 74-year-old man in chiropractic practice

Boer, Nathan J. de; Knaap, Simone F.C.; Zoete, Annemarie de

doi:10.1016/j.jcm.2009.12.002

Cited by 8 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The presence of the complete triad of LBP or abdominal pain with hypotension and a pulsatile abdominal mass is rather low at 21% [ 100 ] and usually observed during rupture [ 117 , 118 , 124 ]. In some cases, history of smoking was reported [ 97 , 102 – 104 , 106 , 108 , 110 , 111 , 115 , 117 , 119 , 121 – 123 , 125 – 132 ]. Other common risk factors are atherosclerotic disease, hypertension, positive family history for AAA and other aneurysms, collagen vascular disease and Marfan and Ehlers-Danlos-syndromes [ 106 , 117 , 119 , 121 – 123 , 133 ].…”

Section: Resultsmentioning

confidence: 99%

Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Low back pain (LBP) is one of the most common reasons for consultation in general practice. Currently, LBP is categorised into specific and non-specific causes. However, extravertebral causes, such as abdominal aortic aneurysm or pancreatitis, are not being considered. Methods A systematic literature search was performed across MEDLINE, Embase, and the Cochrane library, complemented by a handsearch. Studies conducted between 1 January 2001 and 31 December 2020, where LBP was the main symptom, were included. Results The literature search identified 6040 studies, from which duplicates were removed, leaving 4105 studies for title and abstract screening. Subsequently, 265 publications were selected for inclusion, with an additional 197 publications identified through the handsearch. The majority of the studies were case reports and case series, predominantly originating from specialised care settings. A clear distinction between vertebral or rare causes of LBP was not always possible. A range of diseases were identified as potential extravertebral causes of LBP, encompassing gynaecological, urological, vascular, systemic, and gastrointestinal diseases. Notably, guidelines exhibited inconsistencies in addressing extravertebral causes. Discussion Prior to this review, there has been no systematic investigation into extravertebral causes of LBP. Although these causes are rare, the absence of robust and reliable epidemiological data hinders a comprehensive understanding, as well as the lack of standardised protocols, which contributes to a lack of accurate description of indicative symptoms. While there are certain disease-specific characteristics, such as non-mechanical or cyclical LBP, and atypical accompanying symptoms like fever, abdominal pain, or leg swelling, that may suggest extravertebral causes, it is important to recognise that these features are not universally present in every patient. Conclusion The differential diagnosis of extravertebral LBP is extensive with relatively low prevalence rates dependent on the clinical setting. Clinicians should maintain a high index of suspicion for extravertebral aetiologies, especially in patients presenting with atypical accompanying symptoms.

show abstract

Section: Resultsmentioning

confidence: 99%

Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Case management CRs in the fourth-fastest growing category, Diseases of the circulatory system (I00-I99), began with the first publication in 1986 [ 68 ], with the yearly volume peaking in 2014. Examples include CRs in which chiropractors suspected and referred patients with vertebral artery dissection [ 69 – 71 ], ischemic stroke [ 72 ], hemorrhagic stroke [ 73 ], upper [ 74 , 75 ] and lower [ 76 , 77 ] extremity deep vein thrombosis, abdominal aortic aneurysm [ 68 , 78 – 81 ], intracranial aneurysm [ 82 ], popliteal aneurysm [ 83 ], myocardial infarction [ 84 ] and subdural hematoma [ 85 ].…”

Section: Resultsmentioning

confidence: 99%

Chiropractic case reports: a review and bibliometric analysis

Trager

Dusek

2021

Chiropr Man Therap

View full text Add to dashboard Cite

Objective To determine publication trends, gaps, and predictors of citation of chiropractic case reports (CRs). Methods A bibliometric review was conducted by searching PubMed, Index to Chiropractic Literature (ICL), and Google Scholar to identify PubMed-indexed CRs, which were screened according to selection criteria. Case reports were categorized by International Classification of Disease (ICD-10) code, patient age, topic describing case management or adverse effects of care, focus being spinal or non-spinal, journal type, integrative authorship, title metrics, and citation metrics. Binary logistic regression was used to identify independent predictors of citations per year and total citations greater than the median values. Results The search identified 1176 chiropractic CRs meeting selection criteria. There was an increasing trend of CRs having a case management topic, non-spinal focus, non-chiropractic journal, neuromusculoskeletal-focus, diagnosis of vascular pathology, and a decreasing trend of adverse effect vascular pathology CRs. Independent predictors of greater total citations (or citation rate) included ICD-10 categories of perinatal conditions, infections, “case” in title, case management topic, and physical therapy, integrative, and dental journal type. Predictors of fewer citations included diseases of the blood, neoplasms, other findings not elsewhere classified, a title > 11 words, and multidisciplinary authorship. ICD-10 categories describing non-musculoskeletal diseases and special populations such as pediatrics, pregnancy, and perinatal conditions had few CRs. Conclusion Chiropractic CRs are diversifying from spine-related topics. Chiropractors are encouraged to publish objective, structured CRs within defined research gaps. Published CRs can inform the design of future research studies with a higher level of clinical relevance and evidence.

show abstract

“…About 30% of asymptomatic AAAs are found on routine consultation. Curiously, there are some reports of AAAs diagnosed on chiropractic patients [14,15]. During abdominal palpation, an AAA is revealed as a pulsatile, expansive mass at or above the umbilicus.…”

Section: Discussionmentioning

confidence: 99%