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Pleuritic chest pain Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Pleuritic chest pain. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the pleuritic chest pain?

    Why: to determine if acute or chronic.

  2. How would you explain the nature of the chest pain?

    Why: to ensure the chest pain is truly pleuritic. Pleuritic chest pain is a localized sharp pain in the chest made worse, or only present with deep breathing or coughing. It can be precisely localized by the person with the pain.

  3. History of chest trauma?

    Why: may suggest pneumothorax (air in the space between the lungs and the chest cavity) or rib fracture.

  4. Past medical history?

    Why: e.g. risk factors for spontaneous pneumothorax in people over the age of 40 years include chronic bronchitis, emphysema, asthma, lung cancer, lung abscess and pulmonary fibrosis.

  5. Medications?

    Why: e.g. oral contraceptive pill can increase the risk of pulmonary embolism ; some medications may cause a drug induced lupus syndrome with a pleural effusion and pleuritic chest pain including hydralazine, procainamide, isoniazid, phenytoin and chlorpromazine.

  6. Cigarette smoking

    Why: number of packets per day and number of years you have smoked. Smoking is a major risk cause of lung cancer and worsens the prognosis of asbestos related lung disease.

  7. Occupational history?

    Why: e.g. exposure to asbestos may cause disease of the pleura (lining that covers the lung) which causes pleuritic chest pain.

  8. Cough?

    Why: may suggest pneumonia or lung cancer.

  9. Sputum production?

    Why: If there is sputum production, describe it? - e.g. pus-like sputum may suggest pneumonia; profuse and watery may suggest lung cancer; red-currant jelly may suggest lung cancer.

  10. Blood in sputum?

    Why: may suggest lung cancer, lung infarction, pulmonary embolism and pneumonia.

  11. Shortness of breath?

    Why: In acute cases may suggest pneumothorax, pulmonary embolism or pneumonia. In chronic cases may suggest lung cancer or asbestos related pleural disease.

  12. Weight loss?

    Why: may suggest lung cancer or pleural cancer.

  13. Fever?

    Why: may suggest bacterial or viral pneumonia, lung cancer or lung infarction. Fever at night may suggest pneumonia or mesothelioma (tumor of lung lining due to asbestos exposure).

  14. Symptoms of pneumonia?

    Why: e.g. fever, sharp chest pain worse with coughing and breathing, green sputum, shortness of breath. May have blood stained sputum.

  15. Symptoms of pneumothorax (air in the space between the lungs and the chest cavity)

    Why: e.g. sudden onset of pleuritic chest pain on one side of the chest, increasing breathlessness, may develop pallor of the skin.

  16. Symptoms of pulmonary infarct?
  17. Symptoms of pulmonary embolism (blood clot in the lung blood vessels)?

    Why: e.g. sudden and unexplained shortness of breath. May also have blood stained sputum, pleuritic chest pain, fever and collapse. If the source of the blood clot is from the deep veins in the leg, may also have leg pain and swelling.

  18. Symptoms of lung cancer?

    Why: e.g. weight loss, cough, blood in sputum, shortness of breath, chest pain (often mild), wheeze. May have symptoms of cancer having spread to brain, bones and liver.

  19. Symptoms of Rheumatoid arthritis?

    Why: e.g. usually starts with the gradual onset of pain and stiffness of the small joints of the hands and feet. Joint pain is worse on waking, nocturnal pain with disturbed sleep, pain is relieved with activity. Morning and rest stiffness can last for hours. May be associated with weakness, weight loss, malaise and fatigue. May develop a pleural effusion (collection of fluid between the pleura and the lung) with pleuritic chest pain.

  20. Symptoms of systemic lupus erythematosus (SLE)?

    Why: about 40% of people with SLE develop pleural effusion (collection of fluid between the pleura and the lung) which may be associated with fever and pleuritic chest pain. Usually accompanied by other manifestations of SLE including tiredness, Raynaud's phenomenon and butterfly-shaped red facial rash.

  21. Symptoms of epidemic myalgia (Bornholm disease)?

    Why: e.g. - due to infection by Coxsackie B virus. The illness is common in young adults in the late summer and autumn. Characterised by an upper respiratory tract illness (including cough, sore throat, runny nose) followed by pleuritic pain in the chest and upper abdomen. The illness clears within 1 week.

  22. Symptoms of acute pericarditis?

    Why: e.g. dull or sharp central chest pain that may radiate to the neck or shoulders. Pain varies from mild to severe and is usually aggravated by movement of the torso, cough and deep breathing. It may be relieved by sitting up and leaning forward. It is also associated with shortness of breath and fever.

Conditions listing medical symptoms: Pleuritic chest pain:

The following list of conditions have 'Pleuritic chest pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Pleuritic chest pain or choose View All.

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