Chest pain when coughing
Introduction
Introduction A cough on the chest is a clinical symptom of pleurisy caused by a cold. Pleuritis, also known as "pleural inflammation", is inflammation of the pleura. Pleuritis is a causative factor (usually a virus or a bacterium) that stimulates pleural inflammation caused by the pleura. There may be fluid accumulation (exudative pleurisy) or no fluid accumulation (dry pleurisy) in the chest. After the inflammation subsides, the pleura can return to normal, or two layers of pleura adhere to each other. Stimuli from the airway or other parts of the pleura, such as asbestos, hydralazine, procainamide, isoniazid, phenytoin, chlorpromazine.
Cause
Cause
The cause of a cough on the chest:
Pleuritis is a causative factor (usually a virus or a bacterium) that stimulates pleural inflammation caused by the pleura. Caused by a variety of causes, such as infections, malignant tumors, connective tissue disease, pulmonary embolism.
Examine
an examination
Related inspection
Chest CT examination chest radiograph
A coughing chest hurts the diagnosis:
1. The condition is mild and asymptomatic.
2. The main clinical manifestations are chest pain, cough, chest tightness, shortness of breath, and even difficulty breathing. When infected with pleurisy or pleural effusion, there may be aversion to cold and fever.
3. The pleurisy caused by different causes may be accompanied by the clinical manifestations of the corresponding diseases.
Diagnosis
Differential diagnosis
Identification of a confusing and confusing symptom of a coughing chest:
1. Anxiety causes chest pain: symptoms of chest pain due to excessive anxiety. The patient claims that the pain lasts for hours, days, years, or even more than ten years; the entire chest may be painful, usually the patient feels [], [muffy]; at rest, for example, sitting down, lying down, or not working Hands, the patient begins to feel chest discomfort; it does not work at work or during exercise; when the patient sees the doctor sitting down, he is anxious to say a variety of "symptoms": dizziness, sweating, nausea, shortness of breath, fear of heat, fear Cold, hands, feet or lips are paralyzed. I really want the doctor to "go" his illness.
2. Chest pain during inhalation: chest pain during inhalation is one of the clinical manifestations of chest wall pain
3, chest pain when exhaling: pleurisy, also known as "pleural inflammation", is inflammation of the pleura. The most common symptom of pleurisy is chest pain. Chest pain often occurs suddenly, and the degree of difference is large. It may be unclear discomfort or severe tingling. It may occur only when the patient takes a deep breath or cough. It may also persist and be exacerbated by deep breathing or coughing.
4, hemoptysis with chest pain: hemoptysis (hemoptysis) refers to the respiratory organs below the throat bleeding through the coughing action from the mouth to discharge hemoptysis must first identify the oral and pharyngeal bleeding with oral, pharyngeal, nasal bleeding. Most of the nasal bleeding occurs from the anterior nares, and it is often easier to diagnose the hemorrhage in the anterior and posterior septum. Sometimes the amount of bleeding in the back of the nasal cavity is more, can be misdiagnosed as hemoptysis. If you use nasopharyngoscopy to see blood flowing from the posterior nostril along the pharyngeal wall, you can confirm the diagnosis. A large number of hemoptysis must be differentiated from hematemesis (upper gastrointestinal bleeding). The former often has a history of tuberculosis, bronchiectasis, lung cancer, heart disease, etc. Before the bleeding, there is cough, throat itching, chest tightness, and the blood is bright red, mixed with foam. There is no tar-like stool; the latter often has a history of peptic ulcer, liver cirrhosis, etc. Before the bleeding, there is upper abdominal discomfort, nausea and vomiting, etc. The vomiting blood is brownish black or dark red, sometimes bright red, mixed with food residue gastric juice, tar The stool can last for several days after the hematemesis stops.
