RT Book, Section
A1 Fitzpatrick, Meghan E.
A1 Prendergast, Niall T.
A1 Rivera-Lebron, Belinda
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193146515
T1 Pleuritis
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193146515
RD 2024/04/18
AB Pleuritic  pain  due  to  inflammation  of  the  parietal  pleura  is  generally  localized,  sharp,  and  fleeting;  it  is  made  worse  by  coughing,  sneezing,  deep  breathing,  or  movement.  When  the  central  portion  of  the  diaphragmatic  parietal  pleura  is  irritated,  pain  may  be  referred  to  the  ipsilateral  shoulder.  There  are  numerous  causes  of  pleuritis.  The  setting  in  which  pleuritic  pain  develops  helps  narrow  the  differential  diagnosis.  In  young,  otherwise  healthy  individuals,  pleuritis  is  usually  caused  by  viral  respiratory  infections  or  pneumonia  (including  tuberculosis  in  endemic  regions),  while  PE,  inflammatory  disorders  (serositis),  malignancy,  and  drug  reactions  may  also  be  considered  in  the  proper  context.  The  presence  of  pleural  effusion,  pleural  thickening,  or  air  in  the  pleural  space  requires  further  diagnostic  and  therapeutic  measures.