Pleuritis - Revision history

Danbot: Strip excess bold

2026-03-22T09:38:03Z

Strip excess bold

← Older revision		Revision as of 09:38, 22 March 2026
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	==Differential Diagnosis==		==Differential Diagnosis==
	===Must Rule Out===		===Must Rule Out===
	*~~'''~~[[Pulmonary embolism]]~~'''~~ — most important diagnosis to exclude		*[[Pulmonary embolism]] — most important diagnosis to exclude
	*~~'''~~[[Pneumonia]]~~'''~~ / parapneumonic effusion / empyema		*[[Pneumonia]] / parapneumonic effusion / empyema
	*~~'''~~[[Pericarditis]]~~'''~~ / [[myocarditis]]		*[[Pericarditis]] / [[myocarditis]]
	*~~'''~~[[Myocardial infarction]]~~'''~~ (atypical presentation)		*[[Myocardial infarction]] (atypical presentation)
	*~~'''~~[[Pneumothorax]]~~'''~~		*[[Pneumothorax]]
	*~~'''~~[[Aortic dissection]]~~'''~~ (pleuritic component possible)		*[[Aortic dissection]] (pleuritic component possible)

	===Other Causes of Pleuritic Pain===		===Other Causes of Pleuritic Pain===
	*~~'''~~[[Pleural effusion]]~~'''~~ (any cause)		*[[Pleural effusion]] (any cause)
	*~~'''~~[[Tuberculosis]]~~'''~~		*[[Tuberculosis]]
	*~~'''~~Autoimmune~~'''~~: [[SLE]], [[rheumatoid arthritis]]		*Autoimmune: [[SLE]], [[rheumatoid arthritis]]
	*'''Malignancy''': mesothelioma, metastatic disease		*'''Malignancy''': mesothelioma, metastatic disease
	*~~'''~~Musculoskeletal~~'''~~: costochondritis, rib fracture, muscle strain		*Musculoskeletal: costochondritis, rib fracture, muscle strain
	*~~'''~~Subdiaphragmatic~~'''~~: hepatic abscess, splenic infarct, pancreatitis		*Subdiaphragmatic: hepatic abscess, splenic infarct, pancreatitis
	*~~'''~~Drug-induced~~'''~~: [[hydralazine]], [[procainamide]], [[isoniazid]] (drug-induced lupus)		*Drug-induced: [[hydralazine]], [[procainamide]], [[isoniazid]] (drug-induced lupus)
	{{Template:Chest Pain DDX}}		{{Template:Chest Pain DDX}}

	==Evaluation==		==Evaluation==
	===Initial===		===Initial===
	*~~'''~~[[ECG]]~~'''~~: rule out MI, pericarditis (diffuse ST elevation with PR depression)		*[[ECG]]: rule out MI, pericarditis (diffuse ST elevation with PR depression)
	*~~'''~~[[CXR]]~~'''~~: pneumonia, effusion, pneumothorax, widened mediastinum		*[[CXR]]: pneumonia, effusion, pneumothorax, widened mediastinum
	*~~'''~~Pulse oximetry~~'''~~		*Pulse oximetry

	===Laboratory===		===Laboratory===
	*[[CBC]], [[BMP]]		*[[CBC]], [[BMP]]
	*[[Troponin]] if any concern for ACS or myocarditis		*[[Troponin]] if any concern for ACS or myocarditis
	*~~'''~~[[D-dimer]]~~'''~~ if PE is on the differential and patient is low-to-moderate risk (use Wells criteria or PERC rule)		*[[D-dimer]] if PE is on the differential and patient is low-to-moderate risk (use Wells criteria or PERC rule)
	*[[ESR]], [[CRP]] if inflammatory/autoimmune process suspected		*[[ESR]], [[CRP]] if inflammatory/autoimmune process suspected
	*Consider [[BNP]] if effusion or heart failure suspected		*Consider [[BNP]] if effusion or heart failure suspected

	===Advanced Imaging===		===Advanced Imaging===
	*~~'''~~[[CT angiography]] (CTA chest)~~'''~~: if PE suspected — low threshold to obtain in patients with risk factors		*[[CT angiography]] (CTA chest): if PE suspected — low threshold to obtain in patients with risk factors
	*~~'''~~CT chest~~'''~~ without contrast: if concern for parenchymal disease, effusion characterization		*CT chest without contrast: if concern for parenchymal disease, effusion characterization
	*~~'''~~Bedside [[POCUS]]~~'''~~: evaluate for pleural effusion, pneumothorax, pericardial effusion, RV strain (PE)		*Bedside [[POCUS]]: evaluate for pleural effusion, pneumothorax, pericardial effusion, RV strain (PE)
	*~~'''~~Echocardiography~~'''~~: if pericarditis or myocarditis suspected		*Echocardiography: if pericarditis or myocarditis suspected

	===Diagnosis===		===Diagnosis===
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	==Management==		==Management==
	===Symptomatic Treatment===		===Symptomatic Treatment===
	*~~'''~~NSAIDs~~'''~~ are first-line treatment		*NSAIDs are first-line treatment
	**[[Indomethacin]] 25-50mg TID (most studied agent for pleurisy)		**[[Indomethacin]] 25-50mg TID (most studied agent for pleurisy)
	**[[Ibuprofen]] 600-800mg TID is a reasonable alternative		**[[Ibuprofen]] 600-800mg TID is a reasonable alternative

Danbot: Expanded with EM-focused content: diagnosis of exclusion framework, must-rule-out causes, PE evaluation strategy, management, disposition

2026-03-20T23:49:55Z

Expanded with EM-focused content: diagnosis of exclusion framework, must-rule-out causes, PE evaluation strategy, management, disposition

Show changes

Rossdonaldson1 at 06:14, 27 November 2021

2021-11-27T06:14:16Z

← Older revision		Revision as of 06:14, 27 November 2021
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	==References==		==References==
	<references/>		<references/>

			[[Category:Symptoms]]
			[[Category:Pulmonary]]

ClaireLewis at 16:12, 8 February 2021

2021-02-08T16:12:52Z

← Older revision		Revision as of 16:12, 8 February 2021
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	==Clinical Features==		==Clinical Features==
	*Pleuritic chest pain		*Pleuritic [[chest pain]]
	**Typically sharp in nature, worse with respiration, coughing, sneezing, etc		**Typically sharp in nature, worse with respiration, coughing, sneezing, etc
	*May complain of [[dyspnea\|shortness of breath]] as a result of pain		*May complain of [[dyspnea\|shortness of breath]] as a result of pain

Elcatracho: /* Differential Diagnosis */

2021-02-07T20:00:40Z

Differential Diagnosis

← Older revision		Revision as of 20:00, 7 February 2021
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	*[[Pleural effusion]]		*[[Pleural effusion]]

			{{Template:Chest Pain DDX}}

	==Evaluation==		==Evaluation==

Elcatracho: /* Diagnosis */

2021-02-07T19:58:57Z

Diagnosis

← Older revision		Revision as of 19:58, 7 February 2021
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	===Diagnosis===		===Diagnosis===
			*Typically made clinically after ruling out emergent causes of chest pain

	==Management==		==Management==

Elcatracho: /* Workup */

2021-02-07T19:58:23Z

Workup

← Older revision		Revision as of 19:58, 7 February 2021
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	*[[EKG]]		*[[EKG]]
	*[[CXR]]		*[[CXR]]
			*Consider lab testing and/or more advanced imaging per history and physical exam

	===Diagnosis===		===Diagnosis===

Elcatracho: /* Clinical Features */

2021-02-05T19:18:25Z

Clinical Features

← Older revision		Revision as of 19:18, 5 February 2021
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	==Clinical Features==		==Clinical Features==
	*Pleuritic chest pain		*Pleuritic chest pain
			**Typically sharp in nature, worse with respiration, coughing, sneezing, etc
			*May complain of [[dyspnea\|shortness of breath]] as a result of pain

	==Differential Diagnosis==		==Differential Diagnosis==

Elcatracho: Created page with "==Background== *Pleuritis (also known as pleurisy) is nonspecific inflammation of the parietal pleuraKass SM, Williams PM, Reamy BV. Pleurisy. Am Fam Physician. 2007;75(9..."

2021-02-05T19:15:17Z

Created page with "==Background== *Pleuritis (also known as pleurisy) is nonspecific inflammation of the parietal pleura<ref>Kass SM, Williams PM, Reamy BV. Pleurisy. Am Fam Physician. 2007;75(9..."

New page

==Background==
*Pleuritis (also known as pleurisy) is nonspecific inflammation of the parietal pleura<ref>Kass SM, Williams PM, Reamy BV. Pleurisy. Am Fam Physician. 2007;75(9):1357-1364.</ref>
*Most often follows a viral illness

==Clinical Features==
*Pleuritic chest pain

==Differential Diagnosis==
*[[Pulmonary embolism]]
*[[Pneumonia]]
*[[Pericarditis]]
*[[Myocardial infarction]]
*[[Pneumothorax]]
*[[Pleural effusion]]

==Evaluation==
===Workup===
''Pleuritis is a diagnosis of exclusion''
*[[EKG]]
*[[CXR]]
===Diagnosis===

==Management==
*NSAIDs
**[[Indomethacin]] is recommended agent (most studied)

==Disposition==
*Discharge

==See Also==

==External Links==

==References==
<references/>