Presentation
Between the two layers of pleura there is fluid present for its lubrication. This fluid is called pleural fluid. [tandurust.com]
Improve your interpretation of presenting symptoms with 41 new topics and 7 new references in the Differential Diagnosis section. [books.google.com]
Pain receptors are present on the parietal pleura. [online.epocrates.com]
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]
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
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 (略 *IP) 慢性間質性肺炎 【間質性膀胱炎】*interstitial cystitis 【間代性眼瞼痙攣】*blepharoclonus 【間脳症】*diencephalosis [medo.jp]
Respiratoric
- Pleural Effusion
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]
Patients suspected of having a pleural effusion should undergo chest imaging to diagnose its extent. Chest ultrasound has replaced the lateral decubitus x-ray in the evaluation of suspected pleural effusions and as a guide to thoracentesis. [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. [advancedurologicassociates.com]
- 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. [pickeringmedicalpractice.co.uk]
- Painful Cough
Codeine-based cough syrup—to treat a painful cough. Prevention Pleurisy may be prevented with: Proper care for health problems that can cause pleurisy. Flu shot and pneumonia vaccine may be helpful. It may be most helpful for older adults. [winchesterhospital.org]
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]
Other symptoms of pleurisy may include: rapid, shallow breathing because of the pain; cough; chills and fever; and respiratory distress due to large amounts of fluid in the pleural space (known as pleural effusion) making it difficult for the lungs to [mydr.com.au]
[…] occupation in construction or ship building or repair no specific findings distinguish asbestos-related pleural disease such as benign asbestos pleural effusion from other forms of pleural disease Mesothelioma may be a history of exposure to asbestos; chest pain [online.epocrates.com]
- 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]
Pleural Disorders Your pleura is a large, thin sheet of tissue that wraps around the outside of your lungs and lines the inside of your chest cavity. Between the layers of the pleura is a very thin space. [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]
How Are Pleurisy and Other Pleural Disorders Diagnosed? National Heart Lung and Blood Institute [On-line information]. Available online at . Accessed June 2012. Crawford Mechem, C. (Updated 2011 July 8). Emergent Management of Pleural Effusion. [labtestsonline.it]
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]
pain radiating to the back, steatorrhea, malnutrition, diabetes mellitus weight loss, jaundice [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
Most other causes of back pain don't have this quality, however, for some people back pain will worsen with cough. (As can be seen in spinal disc disease.) Source: Getty Images How is pleurisy diagnosed? The pain of pleurisy is very distinctive. [medicinenet.com]
pain may migrate with the propagation of the dissection; stroke, acute myocardial infarction due to obstruction of aortic branches; dyspnea due to acute aortic regurgitation; history of hypertension, Marfan syndrome, Ehlers-Danlos syndrome, or syphilis [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
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]
Patients suspected of having a pleural effusion should undergo chest imaging to diagnose its extent. Chest ultrasound has replaced the lateral decubitus x-ray in the evaluation of suspected pleural effusions and as a guide to thoracentesis. [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. [advancedurologicassociates.com]
- Pleural Rub
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. Treatment For Viral Pleurisy External splinting of the chest wall can reduce the pain of pleurisy. [tandurust.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]
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]
As described above, one common feature in patients with pleurisy is a pleural rub, in which the parietal and visceral pleurae rub together and cause friction. This friction, brought about by pleural inflammation, can be acute or chronic. [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]
Ferri’s Clinical Advisor 2018 is the most efficient, intuitive, and thorough resource of its kind, trusted by physicians to provide current diagnosis and treatment recommendations for hundreds of common medical conditions. [books.google.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]
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]
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]
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]
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. . Accessed Sept. 12, 2016. Sheski FD. An overview of medical thoracoscopy. . Accessed Sept. 19, 2016. [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. [advancedurologicassociates.com]