Symptoms and Signs – Differential Diagnosis of Pleuritic Chest Pain
• Subdiaphragmatic abscess • Pulmonary: pneumothorax, hemothorax, embolism/infarction, pneumonia, empyema, neoplasm, bronchiectasis, pneumomediastinum, TB, carcinomatous effusion • Psychoneurosis • Pain originating from skin and musculoskeletal tissues: costochondritis, chest wall trauma, fractured rib, interstitial fibrositis, myositis, strain of pectoralis muscle, herpes zoster, soft tissues and bone tumors • GI: liver abscess, pancreatitis, esophageal rupture, Whipple’s disease with associated pericarditis or pleuritis • Familial Mediterranean fever • Collagen-vascular diseases with pleuritis • Cardiac: pericarditis, postpericardiotomy/Dressler’s syndrome
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