Pleuritis

Question 1

Essentials of Diagnosis:

• Sudden onset of intermittent (fleeting) pain in the chest wall.
• Usually follows an injury or illness.
• Pain worsened by coughing, sneezing, deep breathing, or movement.
• Usually a secondary causation follows a primary illness
• Viral infection most of the time

Answer 1

Pleuritis

Question 2

General Considerations:

Caused by many conditions:
* Setting in which the pleuritic pain develops helps narrow the differential diagnosis.
* In young otherwise healthy patient, usually caused by viral respiratory illness or pneumonia.KNOW
* Trauma to the chest wall such as rib fractures may also cause pleuritic pain.
* Treat Symptomaticly

Answer 2

Pleuritis

Question 3

Physical Findings:

• Pleuritic chest pain may produce a sense of dyspnea.
• Pain is usually localized, sharp, and fleeting.
• Made worse by coughing, moving, and breathing.
• Friction rub may be present on lung auscultation:
  If present, rub may lessen or disappear when effusion occurs
• Pain may refer to the ipsilateral shoulder. (same side)
• Fever, myalgia’s, headache, nasal congestion, or flulike symptoms may also be present.

Answer 3

Pleuritis

Question 4

Lab/Imaging Findings

CXR to exclude underlying lung disease, pleural effusion, or pneumothorax.

Answer 4

Pleuritis

Question 5

Treatment:

Acetaminophen
Aspirin
NSAIDS
Codeine - DEA C-II or C-III
Morphine – DEA C-II

Answer 5

Pleuritis

Question 6

Dispo:

Medivac pt that have decreased O2 whats that called

Answer 6

Hypoxic

- Having too little oxygen

Question 7

Dx is inflammation of the pleura.

Answer 7

Plueitis