The pleural space can be invaded by fluid, air, and particles from other parts of the body, which fairly complicates diagnosis. Pleural linings and space (marked in blue) It also can cause shock, a state of hypoperfusion in which an insufficient amount of blood is able to reach the organs. Hemothorax can put pressure on the lung and force it to collapse. Hemothorax also can occur in people with lung or pleural cancer. The most common cause is injury to the chest from blunt force or surgery on the heart or chest. If large, a chest tube is placed through the skin and chest wall into the pleural space to remove the air.īlood also can collect in the pleural space. If the pneumothorax is small, it may go away on its own. A pneumothorax also can put pressure on the lung and cause it to collapse. The most common symptom is sudden pain in one side of the lung and shortness of breath. Lung procedures, like surgery, drainage of fluid with a needle, examination of the lung from the inside with a light and a camera, or mechanical ventilation, also can cause a pneumothorax. It can result from acute lung injury or a lung disease like emphysema. For example, pneumonia, heart failure, cancer, or a pulmonary embolism can lead to a pleural effusion.Īir or gas also can build up in the pleural space. Pleural effusion involving fibrinous exudates in the fluid may be called fibrinous pleurisy, which sometimes occurs as a later stage of pleurisy.Ī person can develop a pleural effusion in the absence of pleurisy. In some cases of pleural effusion, the excess fluid becomes infected and turns into an abscess. A large amount of fluid can result in collapse of the lung. The buildup of excess fluid, will more often than not force the two layers of the pleura apart so they don't rub against each other when breathing. ![]() In some cases of pleurisy, excess fluid builds up in the pleural space. Pleurisy is often associated with complications that affect the pleural space. Sore throat followed by pain and swelling in the joints.ĭepending on its cause, pleuritic chest pain may be accompanied by other symptoms: ![]() Sometimes, it becomes a fairly constant dull ache. The pain may stay in one place, or it may spread to the shoulder or back. It feels worse with deep breathing, coughing, sneezing, or laughing. The defining symptom of pleurisy is a sudden sharp, stabbing, burning or dull pain in the right or left side of the chest during breathing, especially when one inhales and exhales.
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