Presentation
Pain receptors are present on the parietal pleura. [online.epocrates.com]
Thus, risk factors of PE should be considered in pediatric patients presenting with symptoms suggesting infectious pleuritis. [ncbi.nlm.nih.gov]
DIAGNOSTIC TESTS Because pleuritic chest pain may be a presenting complaint for pneumonia, pulmonary embolism, or pneumothorax, 1, 9 all patients presenting with this symptom should have chest radiography. [aafp.org]
Entire Body System
- Malaise
[…] sharp pain or even agonizing crushing chest pain mimicking MI [51] pericardial friction rub; approximately 80% will have accompanying pleural effusions (dullness to percussion and decreased breath sounds at the lung bases) Uremia known renal impairment, malaise [online.epocrates.com]
(i.e., days to weeks) Malignancy Rheumatoid arthritis Tuberculosis Recurrent Familial Mediterranean fever Features that are associated with life-threatening causes of pleuritic pain are listed in Table 3. 3 – 5, 8, 9, 21, 22 Other symptoms, such as malaise [aafp.org]
- Intermittent Fever
[…] cramp 【間欠性跛行】*intermittent claudication ＝間歇的跛行 【間欠痛】*intermittent pain 【間欠熱】*intermittent fever 【間欠熱マラリア】*intermittent malaria 【間質性胃炎】*interstitial gastritis 【間質性腎炎】*interstitial nephritis 【間質性舌炎】*interstitial glossitis 【間質性肺炎】*interstitial pneumonia [medo.jp]
- Hypothermia
[…] hypoventilation *underventilation 【低形成】*hypoplasia (＝減形成) 【低血圧症】*hypotension (＝緊張低下症) 【低血液量症】*hypovolemia (＝血液量減少症) 【低血糖症】*hypoglycemia 【低酸素血症】*hypoxemia 【低酸素症】*hypoxia 【低脂肪血症】*hypolipemia 【低脂肪症】*hypoliposis (＝脂肪減少症) 【低色素性貧血】*hypochromic anemia 【低体温症】*hypothermia [medo.jp]
Respiratoric
- Pleural Effusion
This fluid is called pleural fluid. When there is excessive accumulation of fluid in between the pleural space this condition is referred to as pleural effusion or some call it as pleurisy. [tandurust.com]
Exudative pleural effusions meet at least one of the following criteria, whereas transudative pleural effusions meet none: Pleural fluid protein/serum protein >0.5 Pleural fluid LDH/serum LDH >0.6 Pleural fluid LDH more than two-thirds the normal upper [accesspharmacy.mhmedical.com]
If you have pleural effusion, you may need to have the fluid drained through a tube that the doctor inserts in your chest. In some cases of pleural effusion, you may need pleurodesis. [myhealth.alberta.ca]
- Pleuritic Pain
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. [unityhealth.info]
- Pleural Disorder
Blood Tests Blood tests can show whether you have an illness that increases your risk of pleurisy or another pleural disorder. [nhlbi.nih.gov]
Disorders of the pleura include Pleurisy - inflammation of the pleura that causes sharp pain with breathing Pleural effusion - excess fluid in the pleural space Pneumothorax - buildup of air or gas in the pleural space Hemothorax - buildup of blood in [icdlist.com]
References [ edit ] ^ a b c d e "What Are Pleurisy and Other Pleural Disorders?". NHLBI. 21 September 2011. Archived from the original on 8 November 2016. Retrieved 1 November 2016. ^ a b c d "What Causes Pleurisy and Other Pleural Disorders?". [en.wikipedia.org]
Pleural effusion. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/pulmonary-disorders/mediastinal-and-pleural-disorders/pleural-effusion. Updated October 2017. Accessed August 29, 2018. [cancercarewny.com]
- Painful Cough
According to the Mayo Clinic, the symptoms of pleurisy include: Chest pain that worsens when you breathe, cough or sneeze Shortness of breath, because you will try to minimize breathing in and out to prevent pain Cough (in some cases) Fever (in some cases [ksl.com]
[…] in the side and lower part of the chest Pain along the shoulders, neck, and belly Pain when you move your chest, such as breathing and coughing A dry cough Fever Rapid heartbeat Rapid and shallow breathing Diagnosis You will be asked about your symptoms [cancercarewny.com]
(The inner layer of the pleura next to the lungs has no pain nerves.) The pain is often described as a stabbing sensation, and may range from moderate to very severe. The pain is usually made worse by breathing deeply or coughing. [mydr.com.au]
[…] within 2 to 3 weeks after myocardial infarction (MI), or from 3 days to 1 year after coronary artery bypass surgery; chest pains usually precede fever and can vary from dull ache to pleuritic sharp pain or even agonizing crushing chest pain mimicking [online.epocrates.com]
Gastrointestinal
- Abdominal Pain
On the day of admission, she presented to ED with vomiting, watery diarrhea, abdominal pain, chest pain, and respiratory distress. Laboratory findings showed hypoalbuminemia and proteinuria. [ncbi.nlm.nih.gov]
Grey-Turner sign, Cullen sign, Fox sign, Chvostek sign, Trousseau sign, tachycardia, hypotension, abdominal distention Chronic pancreatitis history of alcohol abuse, nausea, vomiting, epigastric abdominal pain radiating to the back, steatorrhea, malnutrition [online.epocrates.com]
Common side effects of these antibiotics include diarrhea, nausea, and abdominal pain. If the patient has tuberculosis, more specialized antibiotics are used for a longer period of time. If the infection is viral, antibiotics will not be effective. [health24.com]
pain *abdominalgia 【腹部外傷】*abdominal trauma 【腹部狭心症】*abdominal angina 【腹部出血】*abdominal hemorrhage *abdominal bleeding 【腹部腫瘍】*abdominal tumor 【腹部疝痛】*celialgia 【腹部大動脈瘤】*abdominal aortic aneurysm 【腹部癲癇】*abdominal epilepsy 【腹部ヘルニア】*laparocele (＝腹壁瘤) 【腹部膨大】 [medo.jp]
Cardiovascular
- Chest Pain
Pleuritic chest pain Pleuritic chest pain is a symptom of pleurisy and is caused by the parietal pleura becoming inflamed. [independentnurse.co.uk]
Skin
Musculoskeletal
- Back Pain
This pain can effect the chest cavity in either the front or back of the cavity, and sometimes patient's have back or shoulder pain. [medicinenet.com]
Grey-Turner sign, Cullen sign, Fox sign, Chvostek sign, Trousseau sign, tachycardia, hypotension, abdominal distention Chronic pancreatitis history of alcohol abuse, nausea, vomiting, epigastric abdominal pain radiating to the back, steatorrhea, malnutrition [online.epocrates.com]
- Scapulalgia
】*ectrodactyly/*ectrodactylia/*ectrodactylism 【欠肢症】*ectromelia 【欠肢体】*ectromelus 【欠乏症】*deficiency 【腱炎】*tendinitis 【腱鞘炎】*peritendinitis *tendovaginitis 【腱膜炎】* *aponeurositis 【肩関節亜脱臼】*subluxation of shoulder 【肩関節周囲炎】*scapulohumeral periarthritis 【肩甲骨痛】*scapulalgia [medo.jp]
Workup
Pleura
- Pleural Effusion
This fluid is called pleural fluid. When there is excessive accumulation of fluid in between the pleural space this condition is referred to as pleural effusion or some call it as pleurisy. [tandurust.com]
Exudative pleural effusions meet at least one of the following criteria, whereas transudative pleural effusions meet none: Pleural fluid protein/serum protein >0.5 Pleural fluid LDH/serum LDH >0.6 Pleural fluid LDH more than two-thirds the normal upper [accesspharmacy.mhmedical.com]
If you have pleural effusion, you may need to have the fluid drained through a tube that the doctor inserts in your chest. In some cases of pleural effusion, you may need pleurodesis. [myhealth.alberta.ca]
- Pleural Rub
Breathing difficulty if the accumulation of the fluid is large in the pleural space. The classical sign of pleural rub can be elicited by a stethoscope. It is the rubbing sound of the two pleural layers. Cough Loss of appetite. [tandurust.com]
Doctors usually check for a sound caused by pleurisy, often described as a pleural "rub," by listening for the creaky, scratchy sound of the pleura rubbing together during a breath. [medbroadcast.com]
Your doctor may hear what is known as a pleural rub — a squeaky rubbing sound in the chest. This is a classic sign of pleurisy. Tests The following tests may be used to help diagnose the cause of pleurisy. [mydr.com.au]
[…] a pleural rub—a squeaking or grating sound made when the pleural linings rub together—results. [uspharmacist.com]
- Pleural Adhesions
People with pleural adhesions have: Recurrence of frequent pleuritis, Chronic pain, Short of breath. [hickeysolution.com]
Treatment
Treatment For Viral Pleurisy External splinting of the chest wall can reduce the pain of pleurisy. Treating the underlying cause like tuberculosis, heart disease or kidney disease will reduce the effusion. [tandurust.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]
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]
Treat the Cause Treatment of the underlying cause of pleurisy is important to reducepleurisy recovery time. [newhealthadvisor.com]
"In the case of pleural effusion, your doctor will direct treatment towards the underlying cause of the fluid," WebMD editors write. [ksl.com]
Prognosis
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]
In case of infectious bacterial pleuritis, the prognosis is not defined and people can develop complications that could cause permanent damage. The time of restoration of viral pleuritis is quite long and it takes at least two weeks. [hickeysolution.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]
Outlook Pleurisy is treatable, and the prognosis is good, but complications can arise if it is left untreated. [medicalnewstoday.com]
Generally, pleurisy treatment has an excellent prognosis, but if left untreated it can cause severe complications. [en.wikipedia.org]
Etiology
Pleural fluid can be examined for further etiologic clues ( Table 5 29 ). [aafp.org]
[…] accumulation separates parietal and visceral pleurae, decreased chest pain; large effusions compromise respiration and may cause coughing, shortness of breath, tachypnoea, cyanosis, rib retraction. pleuritis Pleurisy Pulmonary medicine Pleural inflammation Etiology [medical-dictionary.thefreedictionary.com]
Diagnostic evaluation of pleural effusion in adults: Additional tests for undetermined etiology. http://www.uptodate.com/home. Accessed Sept. 12, 2016. Sheski FD. An overview of medical thoracoscopy. http://www.uptodate.com/home. [mayoclinic.org]
Epidemiology
The molecular epidemiology of asbestos and tobacco in lung cancer. Oncogene. 2002;21:7284–8. 33. Matchaba PT, Volmink J. Steroidsfortreating tuberculous pleurisy. Cochrane Database Syst Rev. 2000;(1):CD001876. [aafp.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. [online.epocrates.com]
B 30, 31 Pathophysiology The visceral pleura does not contain any noci-ceptors or pain receptors. The parietal pleura is innervated by somatic nerves that sense pain when the parietal pleura is inflamed. [aafp.org]
Prevention
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]
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. [myhealth.alberta.ca]