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Patologias do pé : experiência da consulta do pé : clínica universitária de reumatologia
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O pé é uma localização importante de dor e patologia. Este estudo tem como principal objetivo caracterizar a população de doentes seguidos na Consulta do Pé do Centro Hospitalar Lisboa Norte. Visa também explorar as principais queixas referidas na consulta; e ainda realizar estudos de concordância entre o diagnóstico clínico e o diagnóstico radiográfico das patologias de hallux valgus, pé cavo e pé plano. Nesta consulta foram seguidos 184 doentes. Verificou-se um predomínio do sexo feminino e dos indivíduos com idade superior a 56 anos. A queixa registada com mais frequência foi a metatarsalgia, o diagnóstico do pé mais frequente o hallux valgus e a patologia sistémica reumatológica a osteoartrose. Concluiu-se que o diagnóstico de hallux valgus poderá ser apenas clínico, mas não foi possível aferir a mesma conclusão para o diagnóstico de pé cavo e pé plano.
The foot is an important pain and pathology localization. The main purpose of this study was to characterize the population of patients followed in the consultation of the Foot on the North Lisbon Hospital Centre. It also aims to explore the main complaints pointed in the consultation; and to execute agreement studies between the clinical diagnosis and the radiographic diagnosis of hallux valgus, pes cavus and flat feet. In this consultation 184 patients were followed, with a female predominance and a majority of individuals older than 56 years old. The complaint most frequently registered was metatarsalgia, the most frequent diagnosis of the foot was hallux valgus, and the most frequent systemic diagnosis was osteoarthritis. We concluded that hallux valgus diagnosis can be made only by clinical approach, but it was not possible to assess the same conclusion for the pes cavus and flat feet diagnosis.
The foot is an important pain and pathology localization. The main purpose of this study was to characterize the population of patients followed in the consultation of the Foot on the North Lisbon Hospital Centre. It also aims to explore the main complaints pointed in the consultation; and to execute agreement studies between the clinical diagnosis and the radiographic diagnosis of hallux valgus, pes cavus and flat feet. In this consultation 184 patients were followed, with a female predominance and a majority of individuals older than 56 years old. The complaint most frequently registered was metatarsalgia, the most frequent diagnosis of the foot was hallux valgus, and the most frequent systemic diagnosis was osteoarthritis. We concluded that hallux valgus diagnosis can be made only by clinical approach, but it was not possible to assess the same conclusion for the pes cavus and flat feet diagnosis.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2016
Palavras-chave
Doenças do pé Metatarsalgia Reumatologia