Investigation of pleuritic chest pain (summary)
This is a basic article for medical students and other non-radiologists
Pleuritic chest pain is chest pain that is precipitated by movement or forceful breathing and tends to be sharp in nature. It is often accompanied by a perception of dyspnea which may be secondary to suppression of respiration.
Pathophysiology
Pleuritic chest pain is caused by the irritation of the nerves in the parietal pleura - the visceral pleura has no innervation. Branches of the intercostal nerves innervate the rib cage and lateral hemidiaphragm while branches of the phrenic nerve innervate the ipsilateral neck, shoulder and central hemidiaphragm.
Causes
See also
Related Radiopaedia articles
Medical student radiology curriculum
- radiology for students
- neuroradiology
- imaging
- key findings
- conditions
- presentations
- cardiac radiology
- chest radiology
- imaging
- key findings
- conditions
- presentations
- breathlessness
- cough
- hemoptysis
- wheeze
- pleuritic chest pain
- abdominal radiology
- imaging
- key findings
- conditions
- upper GI
- lower GI
- hepatopancreatobiliary
- genitourinary
- vascular
- breast
- presentations
- musculoskeletal radiology
- imaging
- key findings
- interpretation
- conditions
- upper limb
- lower limb
- pelvic fractures
- proximal femoral fractures
- distal fibula fracture
- 5th metatarsal fracture
- pediatrics
- spine
- major trauma
- joint pain/arthritis
- presentations
- upper limb
- lower limb
- hip trauma
- lower limb injury
- foot and ankle injury
- joint pain/arthritis
- obstetrics and gynecology imaging
- imaging
- pelvic US - transabdominal
- pelvic US - transvaginal
- hysterosalpingogram
- CT abdomen
- MRI pelvis
- key findings
- endometrial thickening
- ovarian cysts
- conditions
- non-obstetric
- pelvic inflammatory disease
- tubo-ovarian abscess
- ovarian torsion
- ovarian neoplasms
- endometriosis
- endometrial hyperplasia
- endometrial carcinoma
- cervical cancer
- obstetric
- normal pregnancy
- abnormal first trimester
- ectopic pregnancy
- heterotopic pregnancy
- twins
- non-obstetric
- presentations
- PV bleeding
- pelvic pain
- PV discharge
- early pregnancy
- imaging
- pediatric radiology
- imaging
- key findings
- conditions
- presentations