Medical history (history of illness) is an important component in the diagnosis of pleurisy (pleurisy). Family history What is the current health status of your family members? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). How quickly did the chest pain* occur? Acute – minutes to hours? Subacute – hours to days? Days … Pleurisy (Pleura Inflammation): Medical History
Below are the differential diagnoses for chest pain (pleurisy) – grouped into cardiac and noncardiac: In bold, the most common adult differential diagnoses; in square brackets [children, adolescents], the most common child and adolescent differential diagnoses. A. Cardiac disease (approximately 30% of all cases) Cardiovascular (I00-I99). Acute aortic syndrome (AAS): clinical pictures that can lead … Pleurisy (Pleura Inflammation): Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by pleurisy (pleurisy): Respiratory system (J00-J99) Scarred adhesions in the area of the pleura such as pleural callus, pleural rind. Pleural empyema – accumulation of pus in the pleural cavity.
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart [to exclude cardiac diseases differential diagnosis; pericarditis (pericarditis): friction sounds over the heart]. Examination of the lungs … Pleurisy (Pleura Inflammation): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein). Laboratory parameters 2nd order – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Serologic examination of pleural effusion (see “Pleural effusion” or “Examination of pleural effusion”). … Pleurisy (Pleura Inflammation): Test and Diagnosis
Therapeutic target Pain relief Improvement of the symptomatology / healing See also under “Further therapy“. Therapy recommendations Therapy is based on the cause of the disease Analgesia (analgesics/painkillers). Antibiosis (antibiotic therapy), if necessary.
Obligatory medical device diagnostics. X-ray of the thorax (radiographic thorax/chest), in two planes. Pleural sonography (ultrasound examination of the pleura (pleura) and pleural space) – for detection (proof) of pleural effusion. Optional medical device diagnostics – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. Abdominal … Pleurisy (Pleura Inflammation): Diagnostic Tests
The following symptoms and complaints may indicate pleurisy (pleurisy): Leading symptoms of pleurisy sicca Breath-dependent pain Irritative cough (without sputum) Leading symptoms of pleurisy exsudativa Dyspnea (shortness of breath) depending on the size of the pleural effusion. Occasionally fever
Therapy for pleurisy (inflammation of the pleura) depends on the cause. General measures Aim for normal weight! Determine BMI (body mass index) or body composition using electrical impedance analysis. Falling below the BMI lower limit (from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation … Pleurisy (Pleura Inflammation): Therapy
