Possible Causes for pleuritic pain Pneumonia Dyspnoea, pleuritic pain and haemoptysis are not uncommon. Gastrointestinal upset, such as diarrhoea, nausea and vomiting or loss of appetite/anorexia, may occur. [patient.info] […] worsens when taking a deep breath, known as pleuritic pain fast heartbeat fatigue and weakness nausea and vomiting diarrhea sweating headache muscle pain confusion or delirium [medicalnewstoday.com] Analgesics: non-steroidal anti-inflammatory drugs (NSAIDs) and paracetamol - for mild pleuritic pain; more severe pain may require opiate analgesia but care is needed not [patient.info] COVID-19 Symptoms are non-specific: fever myalgia malaise non-productive cough pleuritic pain dyspnea Laboratory tests The most common findings in a study of 138 hospitalized patients [radiopaedia.org] pain. [radiopaedia.org] […] fatigue (35-40%) sputum production (30-35%) shortness of breath (15-20%) Less common: myalgia/arthralgia (10-15%) headaches (10-15%) sore throat (10-15%) chills (10-12%) pleuritic [radiopaedia.org] Pulmonary Embolism She considers herself a social drinker. 1 She has pleuritic pain. What are the characteristics of pleuritic pain? [meddean.luc.edu] These two conditions are usually found in patients with few or none of the classic PE symptoms such as haemoptysis or pleuritic pain, acute dyspnoea or circulatory collapse [ncbi.nlm.nih.gov] A 55-year-old, previously healthy woman, complained of dyspnea and pleuritic chest pain for 40 days, along with transitory (10 minutes) episodes of syncope that had occurred [ncbi.nlm.nih.gov] Pulmonary Infarction Five patients experienced a single episode of pleuritic pain postembolization, and one patient experienced episodes of pleuritic pain after each of two separate embolization [ncbi.nlm.nih.gov] pain in the area of the embolus) with 24 patients with pulmonary embolism but without infarction. [ncbi.nlm.nih.gov] The authors compared 41 patients with angiographic proof of pulmonary embolism and clinical signs of pulmonary infarction (as evidenced by an infiltrate on x-ray study and pleuritic [arizona.pure.elsevier.com] Pleurisy The nature of pain in pleurisy is described further under pleuritic pain. [healthhype.com] Pleurisy, or other problems that affect the pleura, can cause a 'pleuritic' chest pain. This is usually a sharp stabbing pain. [patient.info] […] and resulting in pleuritic pain. [web.archive.org] Lobar Pneumonia Lobar pneumonia may present with a productive cough, dyspnea, pyrexia/fevers, rigours, malaise, pleuritic pain, and occasionally hemoptysis. [radiopaedia.org] Lobar pneumonia may present with a productive cough, dyspnea, pyrexia/fevers, rigours, malaise, pleuritic pain and occasionally hemoptysis. [radiopaedia.org] Pneumococcal Pneumonia Pneumococcal Pneumonia – “the classical symptoms” – sudden chill, fever, cough, and pleuritic pain. Sputum is red or brown “rusty color”. c. [web.biosci.utexas.edu] High age, alcoholism, chills, pleuritic chest pain, a leukocyte count of greater than 15 x 10(9)l and an elevated CRP were factors significantly more common among those with [ncbi.nlm.nih.gov] […] worsens when taking a deep breath, known as pleuritic pain fast heartbeat fatigue and weakness nausea and vomiting diarrhea sweating headache muscle pain confusion or delirium [medicalnewstoday.com] Recurrent Pulmonary Embolism We describe a 30-year-old woman with a history of recurrent pulmonary embolism who was admitted for investigation of pleuritic chest pain in whom transesophageal echocardiography [ncbi.nlm.nih.gov] The most common symptoms were dyspnea, usually of onset within seconds, at rest or with exertion (73%), pleuritic pain (44%), calf or thigh pain (44%), calf or thigh swelling [ncbi.nlm.nih.gov] The classic presentation for PE with pleuritic pain, dyspnea and tachycardia is likely caused by a large fragmented embolism causing both large and small PEs. [en.wikipedia.org] Acute Massive Pulmonary Embolism The classic presentation for PE with pleuritic pain, dyspnea and tachycardia is likely caused by a large fragmented embolism causing both large and small PEs. [en.wikipedia.org] […] vasoconstriction to optimize gas exchange pulmonary infarction chronic pulmonary hypertension can ensue OVERALL APPROACH CLINICAL FEATURES History may be asymptomatic SOB pleuritic [lifeinthefastlane.com] The most common presenting symptom is dyspnea, followed by symptoms of pulmonary infarction, including pleuritic pain, cough, and, less commonly, hemoptysis. [uscjournal.com] Bronchogenic Carcinoma In other instances, symptoms such as pleuritic pain, Pancoast syndrome, or superior vena cava syndrome develop when there is extensive tumour burden within the thorax. [histopathology-india.net] Other symptoms include pleuritic chest pain, weight loss, haemoptysis and hoarsesness of voice. The majority of patients (79%) were non-smokers. [ascopubs.org] (20%) – common in peripheral tumor Tumour involving pleural surface causing pleuritic chest pain Also due to mediastinal involvement Mediastinal involvement Superior vena [epomedicine.com] Aspiration Pneumonia […] chest pain Putrid expectoration Nonspecific symptoms including headache, nausea/vomiting, anorexia, weight loss Host factors - Chronic conditions resulting in decreased ability [web.archive.org] […] chest pain (pain on inspirations) (Pedi-retractions, nasal flaring, accessory muscle use) Differences in presentation with older adult? [quizlet.com] Pleuritic chest pain. Purulent sputum. [patient.info] Viral Pleurisy Other causes of pleurisy and pleuritic pain There are other more serious causes of pleuritic pain but these are much less common than viral pleurisy. [harwoodmedicalcentre.co.uk] Pleurisy, or other problems that affect the pleura, can cause a 'pleuritic' chest pain. This is usually a sharp stabbing pain. [harwoodmedicalcentre.co.uk] In these cases the pain can be severe but soon goes. Various other lung disorders can also cause a 'pleuritic pain' similar to pleurisy. [harwoodmedicalcentre.co.uk] Pneumothorax […] be normal Sweating, tachypnoea, tachycardia (most common finding) Splinting of the chest wall to relieve pleuritic pain Decreased or absent breath sounds Hyperresonance on [rch.org.au] The patient came to our Emergency Department with sharp pleuritic pain in the left hemithorax that had been progressing over the previous 2 days and was accompanied by mild [elsevier.es] Consider PSP in patients with the following; Symptoms Acute onset chest pain – severe and/or stabbing pain, radiating to ipsilateral shoulder and increasing with inspiration [rch.org.au] Spontaneous Pneumothorax […] be normal Sweating, tachypnoea, tachycardia (most common finding) Splinting of the chest wall to relieve pleuritic pain Decreased or absent breath sounds Hyperresonance on [rch.org.au] Over the next 5 d, he noticed the insidious development of pleuritic chest pain and dyspnea. [ncbi.nlm.nih.gov] BACKGROUND: Patients with primary spontaneous pneumothorax (PSP) usually complain of sudden-onset dyspnea and pleuritic chest pain. [ncbi.nlm.nih.gov] Chest Trauma Pleuritic pain may not develop for hours. If the pneumothorax is large, hyperresonance to percussion may be present. [madsci.com] S/S Pleuritic chest pain Rapid shallow breathing Splenting Atelectasis hypoxemia. 23. Flail Chest The breaking of 2 or more ribs in 2 or more places 24. Flail Chest 25. [slideshare.net] […] chest pain Decreased chest wall movement ipsilateral side Decreased air entry Ipsilateral hyper-resonance to percussion May be asymptomatic Investigations Chest x-ray – collapse [rch.org.au] Hemopneumothorax Results: An 87-year-old male patient permanent pacemaker implantation four days ago came to the Emergency Room with right pleuritic chest pain and associated dyspnea for four [heartbeatjournal.com] A 29-year-old man presents to the emergency department (ED) with dyspnea and pleuritic chest pain. He was hospitalized 2 weeks ago for a stab wound to the chest. [patientcareonline.com] Increase in size of the collection, development of an air-fluid level, or the new onset of symptoms (eg, fever, cough, dyspnea, pleuritic pain) may warrant CT evaluation and [healthjade.net] Bacterial Pneumonia Parenchymal Inflamation Respiratory distress Pleuritic chest pain Rales (expansion of collapsed small airways) Evidence of consolidation What is observed on physical exam [quizlet.com] […] worsens when taking a deep breath, known as pleuritic pain fast heartbeat fatigue and weakness nausea and vomiting diarrhea sweating headache muscle pain confusion or delirium [medicalnewstoday.com] Symptoms and signs are fever, cough, sputum production, pleuritic chest pain, dyspnea, tachypnea, and tachycardia. [merckmanuals.com] 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] […] attack is usually accompanied by Dressler syndrome (postmyocardial infarction syndrome), which includes fever, pericardial effusion (extra fluid in the pericardial space), pleuritic [merckmanuals.com] You can’t rely on history either — STEMI can also cause positional or pleuritic pain. [litfl.com] Catamenial Pneumothorax The patient recalled often having developed the right-sided pleuritic pain of pneumothorax during or shortly after sexual intercourse. [ncbi.nlm.nih.gov] […] chest pain. [amjmed.org] However, detailed questioning will often reveal a history of pneumothoraces or pleuritic chest pain at the time of menstruation. [mactheknife.org] Acute Pleuropericarditis […] and resulting in pleuritic pain. [aafp.org] The condition typically presents with fever, pleuritic chest pain, and a pericardial friction rub heard on auscultation. [amboss.com] Abdominal pain occurs occasionally in children. Differential diagnosis Other causes of chest pain - in particular: Myocardial infarction or ischaemia. Pleuritic pain. [patient.info] Traumatic Pneumothorax Pain. Pain is usually sudden and may be pleuritic. Minimal respiratory distress. [nurseslabs.com] What to look for Whether traumatic, iatrogenic, or spontaneous, pneumothorax causes these cardinal signs and symptoms: sudden, sharp, pleuritic pain exacerbated by chest movement [journals.lww.com] Patients commonly have pleuritic chest pain, dyspnea, tachypnea, and tachycardia. [msdmanuals.com] Subphrenic Abscess Fever, pyrexia Rigors Confusion Tachypnoea Malaise Anorexia Cyanosis Dyspnoea Tachycardia Cough (purulent) Hypotension Haemoptysis Pleuritic pain Vomiting Headache Pleural [brainscape.com] pain, and left shoulder pain (referred from phrenic nerve irritation) Hematologic findings - due to decreased splenic clearance thrombocytosis Howell-Jolly bodies Please [medbullets.com] Pain is reported in as many as 80% of patients and may be associated with pleuritic chest pain or right shoulder pain. [es.slideshare.net] Benign Fibrous Mesothelioma of the Pleura Typically patients present with dyspnea and low back non-pleuritic chest pain. [radiopaedia.org] Empyema One week before admission, he began experiencing left pleuritic chest pain and shortness of breath. He did not have any significant medical history. [atmph.org] pain (3), Fever (1) Laisaar [30] 21 2–8 Fever, bleeding Roupie [31] 16 1–3 Chills and fever (1) Present Study 12 3–9 None Conclusions Empyema thoracis is associated with [bmcinfectdis.biomedcentral.com] […] chest pain and/or prefer to lie on the affected side. [starship.org.nz] Systemic Lupus Erythematosus Serositis a) Pleuritis--convincing history of pleuritic pain or rubbing heard by a physician or evidence of pleural effusion OR b) Pericarditis--documented by ECG or rub or [pedclerk.bsd.uchicago.edu] Non-specific symptoms of fatigue, malaise, oral ulcers, arthralgia, photosensitive skin rashes, lymphadenopathy, pleuritic chest pains, headache, paraesthesiae, symptoms of [doi.org] Lung Abscess A 56-year-old Caucasian lady presented with a short history of pleuritic chest pain on the background of a 2-month history of fever, chills, 10-kg weight loss and cough with [ncbi.nlm.nih.gov] Empirical amoxicillin/clavulanate therapy was initially administered; however, the patient had persistent pleuritic chest pain and fever. [ncbi.nlm.nih.gov] A vast majority of patients with intralobar sequestration are asymptomatic and symptoms, when present, are often nonspecific which may include chest pain, pleuritic pain, [medical-case-reports.imedpub.com] Thromboembolism He denied haemoptysis or pleuritic pain; there was no family history of VTE. [erj.ersjournals.com] He also had dyspnea since 15 days, associated with left sided pleuritic chest pain. Patient consumed 80 grams of beer daily since last 5 years. [pancreas.imedpub.com] Since the pleura is innervated, inflammation will produce localized pleuritic chest pain. [pathophys.org] Ankylosing Spondylitis He initially presented with pleuritic chest pain, was diagnosed with cardiac tamponade and required emergent pericardiocentesis. [ncbi.nlm.nih.gov] We present a rare case of cardiac manifestations of AS in a 25-year-old man with recurrent chest pain and pericardial effusions. [ncbi.nlm.nih.gov] Iatrogenic Pneumothorax Most patients complain of acute onset pleuritic pain and have diminished breath sounds on the affected side. [aneskey.com] Chest pain : a pleuritic pain may give a sensation of breathlessness. Examples include pleurodynia and Bornholm disease. [patient.info] Spontaneous pneumothorax usually presents with sudden onset of pleuritic chest pain and breathlessness, and is diagnosed primarily on history and chest X-ray, preferably taken [quartz.tg.com.au] Dressler Syndrome It consists of fever, pleuritic pain, pericarditis and/or a pericardial effusion. [en.wikipedia.org] The symptoms mainly consist of fever, pleuritic pain, pericarditis and pericardial effusion. [xpertdox.com] Differential diagnosis The pain may initially suggest a further episode of angina or MI. Pleuritic chest pain may also suggest pneumonia or pulmonary embolism. [patient.info]
