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For further information, see CMDT Part 9-35: Pleuritis
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The setting in which pain occurs can often narrow the broad list of potential causes
In young, healthy individuals, pleuritis is usually due to a viral respiratory infection
Pleural effusion, pleural thickening, or pneumothorax require additional diagnostic and therapeutic measures
Simple rib fracture can cause severe pleurisy
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Treatment is directed at the underlying disease
NSAIDs (indomethacin, 25 mg two or three times daily) may help pain relief
Codeine (30–60 mg three times daily) or other opioids may control cough
Intercostal nerve blocks are occasionally helpful