a patient with hemoptysis report pleuritic chest pain

Chest roentgenograms in this condition are usually normal, and the diagnosis is made by the association of unexplained hemoptysis with the menses. Pleuritic pain, as occurred with our patient, is an unusual aspect of catamenial hemoptysis.

Full Answer

When is chest radiography indicated in the workup of hemoptysis?

If the case history and clinical picture are clear and the hemoptysis is mild, chest radiography at two levels is the only diagnostic imaging modality required (efigure 1). It is quick, simple, almost universally available, economical, and has a low radiation burden.

What are the symptoms of pleuritic chest pain after upper respiratory infection?

The patient presented with shortness of breath and pleuritic chest pain that appeared 2 weeks after an upper respiratory tract infection. The differential diagnosis of pleuritic chest pain includes mainly acute pericarditis, pleuropneumonia, acute pulmonary embolism, and musculoskeletal pain.

What is included in the differential diagnoses of pleuritic chest pain?

The differential diagnosis of pleuritic chest pain includes mainly acute pericarditis, pleuropneumonia, acute pulmonary embolism, and musculoskeletal pain.

How is massive hemoptysis diagnosed?

Overall, the combination of bronchoscopy and multislice computed tomography yields the best results in the diagnosis of hemoptysis (22, 25). Treatment The primary aim in the treatment of life-threatening massive hemoptysis is to control and stop the bleeding (38).

What is pleuritic type chest pain?

Pleurisy (PLOOR-ih-see) is a condition in which the pleura — two large, thin layers of tissue that separate your lungs from your chest wall — becomes inflamed. Also called pleuritis, pleurisy causes sharp chest pain (pleuritic pain) that worsens during breathing.

How would you describe pleuritic pain?

Pleuritic chest pain is characterized by sudden and intense sharp, stabbing, or burning pain in the chest when inhaling and exhaling. It is exacerbated by deep breathing, coughing, sneezing, or laughing.

What are the typical features of pleuritic chest pain?

Patients often relate that the pain is sharp and is made worse with movement. Typically, they will assume a posture that limits motion of the affected area. Pain with respiration may cause patients to complain of shortness of breath or dyspnea.

How do you assess pleuritic chest pain?

AdvertisementBlood tests. A blood test might tell if you have an infection. ... Chest X-ray. A chest X-ray can show if your lungs are fully inflating or if there is air or fluid between the lungs and ribs.Computerized tomography (CT) scan. ... Ultrasound. ... Electrocardiogram (ECG or EKG).

Does pneumonia cause pleuritic chest pain?

Bacterial pneumonia and tuberculosis (TB) infections are common causes of pleuritic chest pain. Viruses like the flu or even a fungal infection can trigger infections in your lungs.

Why is there pleuritic chest pain in pulmonary embolism?

Pulmonary Embolism: Pleuritic chest pain is caused by irritation of the parietal pleura resulting from inflammation of the underlying visceral pleura affected by the embolus. It may arise following the initial symptoms of pulmonary embolism.

Where is pleuritic pain felt?

Usually the pain is felt in the chest wall over the area that's inflamed. You might also feel pain in the upper abdominal area, neck, back, and shoulders. Because inhaling deeply hurts, a person with pleurisy tends to breathe quickly and shallowly.

What is non pleuritic chest pain?

ABSTRACT. Pleuritic chest pain is characterised by being well localised, sharp in nature and exacerbated by inspiration. Chest pain that does not have these characteristics is described as non-pleuritic. The main focus of investigation should be on diagnosing or excluding an acute coronary syndrome.

Summary

Glomus tumours are distinctive neoplasms arising in the cells of the glomus body. Histologically they resemble modified smooth muscle cells. It usually occurs over the limbs. However, several unusual sites of occurrence have been described. These include the patella, chest wall, bone, heart, stomach, eyelid, lung, rectum, etc.

Introduction

Glomus tumours are distinctive neoplasms arising in the cells of the glomus body. Histologically they resemble modified smooth muscle cells. It usually occurs over the limbs, however, several unusual sites of occurrence have been described. These include the patella, chest wall, bone, heart, stomach, eyelid, lung, rectum, etc.

Case report

A 43-year-old gentleman presented with complaints of intermittent hemoptysis and pleuritic chest pain for 1 year. He was a non-smoker with underlying hypertension which was well controlled. Physical examination was unremarkable.

Histological and immunohistochemical findings

The resected tumour consisted of about 10 fragments of grey-white to haemorrhagic soft tissue, ranging between 0.2 and 0.6 cm in maximum dimension. The segments comprised of multiple fragments of tracheal tissue lined by squamous mucosa. There was a polypoid lesion in the submucosa composed of many dilated vessels.

Discussion

Glomus tumours derive from the modified smooth muscle cells of the glomus body. 1, 2 There are three histological subtypes based on prominence of glomocytes, vessels and smooth muscles. These are (i) glomus tumour proper type, (ii) glomanganglioma type and (iii) glomangiomyoma type.

Conflict of interest statement

We, the authors, declare that no funding has been received and that no conflict of interest exists for any of the authors of this article.

Can pericarditis cause dyspnea?

Dyspnea can appear in patients with acute pericarditis, presumably when pleuritic pain limits breathing, when there is a concomitant large pleural effusion, or when cardiac tamponade is accompanied by peripheral hypoperfusion and acidosis.

Is a large pericardial effusion more likely than a small tamponade?

3 Therefore, if the patient had acute pericarditis, a large pericardial effusion with risk of cardiac tamponade is more likely than a small or no effusion.

What is the pain associated with a hemorrhage?

Hemorrhage involves a decrease in blood pressure, bruising, and lumbar pain. The patient has pleuritic pain, which is not consistent with the chest pain of a myocardial infarction. A patient who takes warfarin [Coumadin] is brought to the emergency department after accidentally taking too much warfarin.

How long after symptom onset can you give alteplase?

When alteplase is given within 2 hours after symptom onset, the death rate for MI has been shown to be 5.4%, compared with 9.4% if given 4 to 6 hours after symptom onset. ASA may be given at the first sign of MI; it is not necessary to wait for cardiac enzyme results.

When to use ASA for myocardial infarction?

ASA is used for primary prevention of myocardial infarction (MI) in men and in women older than 65 years. Aspirin for primary prevention may be used in women ages 55 to 79 years when the potential benefit of a reduction in MI outweighs the potential harm of increased GI hemorrhage. This patient has no previous history of MI, ...