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26 Possible Causes for Chest Pain Worse when Lying Down, Pleuritic Pain

  • Pericarditis

    pain (pain due to inflammation of the pleura, which are the membranes covering the lungs), pleural effusion (fluid between the two layers of the pleura), and joint pain.[msdmanuals.com] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] […] attack is usually accompanied by Dressler syndrome (postmyocardial infarction syndrome), which includes fever, pericardial effusion (extra fluid in the pericardial space), pleuritic[merckmanuals.com]

  • Acute Pericarditis

    Although the differential diagnosis of chest pain is extensive, certain features point strongly to pericarditis, especially pleuritic pain that is relieved by sitting forward[blogs.nejm.org] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] pain (pain due to inflammation of the pleura, which are the membranes covering the lungs), pleural effusion (fluid between the two layers of the pleura), and joint pain.[msdmanuals.com]

  • Pleurisy

    The nature of pain in pleurisy is described further under pleuritic pain.[healthhype.com] pain.[1] The pain may also be felt in the shoulders, neck, or back.[1] It is typically better sitting up and worse when lying down or breathing deeply.[1] Other symptoms[en.wikipedia.org] Pleurisy, or other problems that affect the pleura, can cause a 'pleuritic' chest pain. This is usually a sharp stabbing pain.[patient.info]

  • Dressler Syndrome

    It consists of fever, pleuritic pain, pericarditis and/or a pericardial effusion.[en.wikipedia.org] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] The pain is the main symptom, often in the left shoulder, often pleuritic, and worse on lying down. There may be malaise, fever and dyspnoea.[patient.info]

  • Acute Pleuropericarditis

    […] and resulting in pleuritic pain.[aafp.org] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] It may also be worse when lying down and can also cause pain when swallowing.[wattletreecardiology.com.au]

  • Postcardiac Injury Syndrome

    An 80-year-old woman initially presented with an episode of pleuritic chest pain 10 days after implantation of a dual chamber permanent pacemaker.[ncbi.nlm.nih.gov] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] Postcardiac injury syndrome is characterized by pleuritic chest pain, low-grade fever, an abnormal chest x-ray, and the presence of exudative pericardial and/or pleural effusions[ncbi.nlm.nih.gov]

  • Pleural Mesothelioma

    The authors describe a case of deciduoid pleural mesothelioma in a 40-year-old-woman who presented with right pleuritic chest pain, with no history of asbestos exposure, treated[ncbi.nlm.nih.gov] Pleural mesothelioma may cause: Shortness of breath (breathlessness) This common symptom usually feels worse with activity or when you are lying down.[cancervic.org.au] Mixed Clinical presentation ;- Classical symptoms ;- Non pleuritic chest pain. 5. Dyspnoea 6. systemic symptoms …. Fatigue ….W t loss …..[slideshare.net]

  • Suppurative Pericarditis

    […] severe pleuritic pain in anterior chest, systemic febrile reactions, signs of cardiac failure What causes purulent pericarditis?[quizlet.com] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] Case Scenario: 33 year-old woman presents to emergency department with sharp retrosternal chest pain which is pleuritic in nature. Well’s low and PERC negative.[thesgem.com]

  • Familial Pericarditis

    Pericarditis was diagnosed when patients sustained attacks of pleuritic retrosternal chest pain and had typical findings in the electrocardiogram, echocardiogram or chest[ncbi.nlm.nih.gov] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] Pericarditis typically causes chest pain, most commonly worsening with taking in a deep breath (pleuritic chest pain), sometimes worsening when lying down and often relieved[cormedicalgroup.com]

  • Radiation Pericarditis

    Patients with pneumonia may have pleuritic pain simulating that of pericarditis.[tele.med.ru] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] The pleuritic pain causes the patients to breath in a shallow and rapid manner i.e. tachypnea.[brown.edu]

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