Pleurisy

Pleurisy is irritation and inflammation in the pleura.

Pathophysiology and Etiology
  1. Secondary occur as a result of the primary causes such as pneumonia (bacterial or viral), pulmonary embolism, pulmonary tuberculosis, bronchiectasis.
  2. Associated with rib fractures and thoracic wall.
  3. Irritation that comes from below the diaphragm: hepatitis or abscess subfrenik.
  4. Pleurodinia epidemic (Bornholm disease, devil's grippe).
  5. Pleurodinia epidemics such as "lupus erythematosus"
  6. Inflammation of the pleura with fibrineus exudate can lead to pleural adhesions.

Pleurisy Symtomps
  • Complaints and symptoms according to the basic disease, such as pneumonia, pulmonary infarction, but the protruding chest pain.
  • Chest pain like being stabbed associated with inspiration and expiration.
  • Breathing becomes shallow and rapid.
  • Because of pain, reduced chest expansion on the sore area and decreased breath sounds.
  • Pleural friction sound can be heard on breathing in, especially on the "dry pleurisy".
  • Dry cough is ineffective and accompanied by pain.
  • Febrile and malaise.

Physical examination
  • Chest wall can mencembung due to pleural effusion. If you already have pencembungan chest pain usually lessens. Percussion sounds overcast condition on the sore area and decreased breath sounds on auscultation until it disappears.
  • "Pleural friction rub" that is, pleural friction sound may be heard through a stethoscope during respiration.
  • Where the string sound in sync with the systolic and strengthened in time breathing the possibility of friction noise coming from the pleuro-pericardial.

Chest X-Ray  Photo.
  • Chest X-Ray image is important to look for basic illnesses such as lung tumors, pulmonary tuberculosis, pneumonia and effusion.
  • Normal chest X-Ray photos, and chest pain possible "dry pleurisy".
  • But the normal chest image, can not rule out the possibility of lung disease as the cause pleurisy.
Laboratory.
Pleural puncture to aid the diagnosis by microscopic examination and culturing.

Diagnosis
  • Pleurisy diagnosis can be enforced, if the patient complained of pleuritic pain or a pleural friction sound.
  • Typical signs of pleural pain is pain like being stabbed with a knife (sharp pain) and increased pain when the patient breathe deeply or cough.

Differential Diagnosis
  • Herpes zooster
  • Fracture rib
  • Non-rheumatic disorders such as fibrositis artikuler
  • Pericarditis
  • Pneumothorax.


Management of pleurisy
  • Analgesics such as antalgin can be given according to need. In severe pleuritic pain may be given pethidine 100 mg im or morphine 10 mg i.m.
  • Antibiotics or chemo-terapeutic for basic illnesses.
  • The rib fractures, chest bandage.
  • See also pleural effusion.
Complications

Prognosis
  • Depending on the basic disease and is usually cured by treating the basic disease.
  • Can be a "Chronic Adhesive Pleurisy" that interfere with lung physiology.

Tags : Pleurisy, Pleuritis, Pleuritic chest pain, pleurisy symptoms, pleurisy pain, chest pain, peumonia pleurisy, lung pleurisy, what is pleurisy, treatment pleurisy, symptoms of pleurisy, pleurisy causes, pleurisy back pain, pain when breathing, pleurisy contagious, Pleurisy definition,

Comments

Post a Comment

Popular posts from this blog

Pertussis (Whooping Cough)

Image
Definition Pertussis (Whooping Cough) is an acute disease of the respiratory tract. Found in children younger than 5 years, especially in children age 2-3 years. Cause Pertussis is caused by gram-negative Bordetella Pertussis. Clinical Overview These symptoms occur 1-2 weeks after contact with the infected person and preceded by an incubation period of 7-14 days. Typically, the disease lasts for 6 weeks or more. That is why the disease is called cough hundred days. On his way, pertussis includes several stages, namely: Kataralis which marked the onset of a mild cough, especially at night, accompanied by mild fever and runny nose. This stage lasts 1-2 weeks. In the catarrhal stage indistinguishable from that caused by a viral respiratory infection Second is the spasmodic stage lasts 2-4 weeks. Symptoms, cough more often, people with sweat, and blood vessels in the face of wide-neck. Long coughing attack usually ends with a distinctive high-pitched sound (whooping caugh) and accompanied ...
Read more

Hemothorax

Image
Hemotorax is the presence of blood in the pleural cavity. Pathophysiology and Etiology Sharp trauma or blunt trauma. This can occur when blunt trauma can cause fractures of the ribs, resulting in a torn intercostal blood vessels and also cause a tear in the lung tissue. A torn aortic aneurysm Complications due to drug administration on pulmonary infarction antikoagulansia In patients with abnormalities of "hemorrhagic diathese". Complications in thoracic surgery. Clinical Symptoms Symptoms and complaints hemothorax depending on the weight and severity of trauma. Patients may complain of shortness of breath, chest pain, until the shock and anemia. Diagnosis 1. Anamnesa : A history of trauma to the chest, or after surgery. 2. Physical examination Found such signs in the pleural effusion . At the hospital hemitoraks reduced movement. Hemithorax percussion on the sick and faint sounds on auscultation, breath sounds audible reduced or disappear altogether. 3. Chest X-ray photo...
Read more

Cough - Definition and Mechanisms

Image
Cough Cough is a symptom of the most common disease in which the prevalence was found in about 15% in children and 20% in adults. One out of ten patients who visited the doctor's office each year has a chief complaint of cough. Coughing can cause bad feelings, sleep disorders, affecting daily activities and reduce quality of life. Cough is a complex physiological reflex that protects the lung from mechanical trauma, chemical and temperature. Coughing is also a natural defense mechanism of lung airway to keep it clean and open to the street: Prevent the entry of foreign objects into the respiratory tract. Remove foreign objects or abnormal secretions from the respiratory tract. Coughing becomes physiologically when perceived as a nuisance. Such a cough is often a sign of a disease within or outside the lungs and sometimes are the early symptoms of a disease. Cough may be very significant on the transmission of disease through the air (air-borne infection). Cough is one of the sympto...
Read more