The medical history represents an important component in the diagnosis of pleurodynia (pleural pain). 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 to … Pleuritic Pain (Pleurodynia): Medical History
Respiratory System (J00-J99) Bronchial asthma Bronchitis – inflammation of the bronchi. Foreign body aspiration – inhalation of foreign bodies. Mediastinitis – inflammation in the mediastinum (space in the chest located between the lungs). Pleurisy (sicca) (pleurisy). Pneumonia (pneumonia) Pulmonary hypertension (pulmonary hypertension) Pneumothorax – lung collapse further complicated by a valve mechanism. Blood, blood-forming organs … Pleuritic Pain (Pleurodynia): Or something else? Differential Diagnosis
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; further: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart [to exclude cardiac diseases differential diagnosis; pericarditis: friction sounds over the heart]. Examination of the lungs (due … Pleuritic Pain (Pleurodynia): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Highly sensitive cardiac troponin T (hs-cTnT) or troponin I (hs-cTnI) – for suspected myocardial infarction (heart attack). D-dimers – for suspected thrombosis or pulmonary embolism. Laboratory parameters 2nd order – depending … Pleuritic Pain (Pleurodynia): Test and Diagnosis
Obligatory medical device diagnostics. Electrocardiogram (ECG; 12-lead ECG; additional right ventricular leads in unstable patients and if 12-lead ECG is unremarkable)-to confirm cardiac ischemia (reduced blood flow to the heart) [see “Stages of myocardial infarction (heart attack) on ECG” below; if ST elevation is detected on ECG, indication for invasive workup in cardiac catheterization laboratoryNote: … Pleuritic Pain (Pleurodynia): Diagnostic Tests
The following symptoms and complaints may occur together with pleurodynia (pleural pain): Leading symptom Pleurodynia (pleural pain): chest pain that worsens with deep breathing movements and with talking, coughing, or sneezing; pain character: cutting. Associated symptoms Breath-dependent pain Dyspnea, depending on the size of the pleural effusion Irritative cough (without sputum) Occasionally fever