pleurisy -refers to inflammation of both layers of pleurae(parietal and visceral)
pleura covering the lung and chest wall
or pain arising from any disease of pleura.
causes -
pneumonia, tuberculosis
malignancy invading the pleura
pulmonary infarction
rheumatoid arthritis & SLE .
symptoms -
chest pain (pleuritic pain)
sharp localized pain made worse on deep inspiration, coughing and bending movement.
intercostal tenderness on palpation
evidence of infection -fever, malaise, increased WBCs.
Diagnosis -Chest x ray may show pleural thickening
sputum examination may indicate infectious organism.
examination of pleural fluid obtained by thoracentesis for smear and culture.
pleural biopsy.
on examination -
diminished movement of chest on affected side
breath sound may be diminished on affected side
pleural rub -a crackling sound at the end of inspiration and beginning of expiration localized usually to small area of chest wall
management -
bed rest
treatment of underlying disease
analgesics -pethidine 50 mg I/M or tab Dolobid BD or tab postan 2 TDS, indomethacin .
SYP.actifed DM for cough three times daily.
pleura covering the lung and chest wall
or pain arising from any disease of pleura.
causes -
pneumonia, tuberculosis
malignancy invading the pleura
pulmonary infarction
rheumatoid arthritis & SLE .
symptoms -
chest pain (pleuritic pain)
sharp localized pain made worse on deep inspiration, coughing and bending movement.
intercostal tenderness on palpation
evidence of infection -fever, malaise, increased WBCs.
Diagnosis -Chest x ray may show pleural thickening
sputum examination may indicate infectious organism.
examination of pleural fluid obtained by thoracentesis for smear and culture.
pleural biopsy.
on examination -
diminished movement of chest on affected side
breath sound may be diminished on affected side
pleural rub -a crackling sound at the end of inspiration and beginning of expiration localized usually to small area of chest wall
management -
bed rest
treatment of underlying disease
analgesics -pethidine 50 mg I/M or tab Dolobid BD or tab postan 2 TDS, indomethacin .
SYP.actifed DM for cough three times daily.
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