Pleurisy:  An inflammation of the visceral and parietal pleurae that line the inside of the thoracic cage and envelop the lungs, pleurisy usually begins suddenly.

Cause:  Pleurisy develops as a complication of pneumonia, tuberculosis, viruses, systemic lupus erythematosus, rheumatoid arthritis, uremia, cancer, pulmonary infarction, or chest trauma.


Sharp, stabbing pain that increases with respiration may be so severe that it limits movement on the affected side during breathing


Auscultation reveals a characteristic pleural friction rub - a coarse, creaky sound heard during late inspiration and early expiration, directly over the area of pleural inflammation


Treatment usually symptomatic

Anti inflammatory agents


Bed rest

Severe pain may require intercostal nerve block.

Pleurisy with pleural effusion calls for therapeutic and diagnostic thoracentesis

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