Presentation
Intermittent pleural friction rubs have been present in all four; one patient showed pleural uptake of gallium-67. [ncbi.nlm.nih.gov]
Enlarged mediastinal and hilar lymph nodes are also present (not shown). [erj.ersjournals.com]
Others present the pain as rather dull, being located in either the right or the left side of the chest (depending on the part of the body that was affected). The pleuritic chest pain can be aggravated by breathing, coughing or even sneezing. [mddk.com]
Respiratoric
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Hyperresonance
In contrast, pneumothorax could lead to hyperresonance on lung examination. In new-onset heart failure due to large myocardial infarction, cardiac examination may show an extra heart sound (third or fourth heart sound). [aafp.org]
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Tracheal Deviation
deviation, hyperresonance Abnormal CXR indicating air in pleural space Tension pneumothorax is often a clinical diagnosis before imaging Pulmonary embolus Acute onset dyspnea, history of deep venous thrombosis, history of malignancy, unilateral leg swelling [aafp.org]
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Chest Wall Tenderness
There is no jugular venous distention and no chest-wall tenderness. Laboratory studies reveal a serum creatinine level of 1.0 mg/dL (76.3 µmol/L). Electrocardiogram is shown. [acpinternist.org]
Psychiatrical
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Impulsivity
If impulses are transmitted through the phrenic nerve, pain may be referred to the shoulder. Pleuritic chest pain refers to sharp pain exacerbated by inspiration, coughing, or sneezing, as well as movement. [independentnurse.co.uk]
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Fear
[…] pleuritic pain. 10 The use of tricyclic antidepressants or anticonvulsants may have a limited role in the treatment of patients with neuropathic pain and persistent pleuritic pain syndromes. 3 Psychological factors may intensify patients’ views and fear [uspharmacist.com]
Neurologic
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Grunting
Typical signs of acute pleurisy include painful respiratory movements causing grunting and rapid shallow breathing. [medical-dictionary.thefreedictionary.com]
Workup
Extensive workups including repeated pulmonary ventilation-perfusion scans and cardiac catheterisation have not yielded other diagnoses to explain the pain. [ncbi.nlm.nih.gov]
An initial workup when suspicious of multiple myeloma should involve a skeletal survey to evaluate for lytic lesions. [antimicrobe.org]
X-Ray
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Alveolar Consolidation
consolidation (PAC), defined by hypoechoic subpleural images; and (iv) the pleural disruption with thickening and irregularity of the line, with or without localized effusion. [ncbi.nlm.nih.gov]
Microbiology
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Rickettsia Conorii
conorii ] endemic to the Mediterranean region of Europe that triggers a syndrome similar to Rocky Mountain spotted fever in the United States), parapneumonic pleuritic pneumonia, tuberculosis Myocarditis Parasitic Amebiasis, paragonimiasis Viral Adenovirus [aafp.org]
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Acid-Fast Bacilli in the Sputum
bacilli Gram stain, sputum culture, purified protein derivative Table 3. [aafp.org]
Treatment
Because of its efficacy, colchicine has emerged as the treatment of choice for acute bouts of recurrent pericarditis and can be useful in the prevention of recurrences. Treatment duration is 6 months. [acpinternist.org]
NSAIDs (particularly indomethacin), along with opioid analgesics, remain the mainstay of treatment for pleurisy; identification and treatment of the primary cause are also important. [uspharmacist.com]
Treatment for pleurisy Treatment for pleurisy may include: treating the underlying cause – for example, treatment for tuberculosis anti-inflammatory medications other medications to manage the pain antibiotics for a bacterial infection draining off the [betterhealth.vic.gov.au]
Treatment options Treatment for pleurisy will depend on the underlying cause of the condition. For example, pleurisy that is caused by a viral infection will often resolve without needing treatment. [hse.ie]
Prognosis
Prognosis In patients with pleurisy, the outlook depends on the underlying medical illness. Lung infection — People with epidemic pleurodynia or other viral cause of pleurisy have an excellent prognosis. [drugs.com]
The recommended surgical approach is complete resection to enable excellent prognosis and survival 5, 6. [erj.ersjournals.com]
Prognosis Prompt diagnosis, followed by appropriate treatment, ensures a good recovery for most pleurisy patients. Generally speaking, the prognosis for pleurisy is linked to the seriousness of its cause. [medical-dictionary.thefreedictionary.com]
Prognosis The outcome of treatment may depend on the seriousness of the underlying disease. Most cases of pleuritis of unknown cause heal with time. [diagnose-me.com]
Generally, pleurisy treatment has an excellent prognosis, but if left untreated it can cause severe complications. [en.wikipedia.org]
Etiology
Differential Diagnosis Pleuritic chest pain has many etiologies. [aafp.org]
“Pleuritic” means accentuated by breathing or coughing; it calls to mind pulmonary disease, unless it’s also exacerbated by twisting, bending, or reaching, which would suggest musculoskeletal etiology. [diagnosisdude.com]
Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. [icd10data.com]
Epidemiology
Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]
Contributions to the study of the etiology of serofibrinous pleurisy in Romania, under the present epidemiological conditions. Evaluation of the etiological role of viruses. Virologie. 1984;35(1):11–19. 21. Harley RA. [aafp.org]
Guided Medline Search For Recent Reviews Epidemiology Clinical Manifestations Pathogenesis Therapy Prevention Guided Medline Search For Historical Aspects Fever and Chest Pain [antimicrobe.org]
Pathophysiology
Pathophysiology The pleural space is a potential space that can be filled with a variety of substances including transudative fluid, exudative fluid, pus, blood, air, or chyle. [bestpractice.bmj.com]
B 36 Pathophysiology The visceral pleura does not contain pain receptors, whereas the parietal pleura is innervated by somatic nerves that sense pain due to trauma or inflammation. [aafp.org]
Many people refer to this condition as a dissecting aortic aneurysm, but this is really not a correct term, since pathophysiologically, an aneurysm is a different entity. [emsworld.com]
Prevention
You may have less pain after this happens, because the fluid prevents the two layers of the pleura from rubbing together. If there is a large amount of fluid, it may prevent the lung from expanding when you breathe in. [healthlinkbc.ca]
Prevention In some cases, you can prevent pleurisy by preventing the medical condition that causes it. For example, some types of pneumonia can be prevented by vaccination. [drugs.com]
This procedure thereby obliterates the space between the pleura and prevents the reaccumulation of fluid. Can pleurisy be prevented? Some cases of pleurisy can be prevented, depending on the cause. [rxlist.com]