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pleurisy or pericarditis how can you tell the difference

A 51-year-old member asked:
Dr. Nisha Surenderanath
16 years experience Pediatric Cardiology
EKG: Pleurisy- inflammation of the lining of lung and pericarditis is inflammation of lining of heart. Pericarditis is more severe and need medical attent ... Read More
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A 56-year-old member asked:
Dr. Robert Pearson-Martinez
19 years experience Pediatric Cardiology
Area of inflammation: Pericarditis refers to inflammation of the pericardium, the lining around the heart. Pleurisy refers to inflammation of the pleura, the lining of the ... Read More
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3 thanks
A 48-year-old member asked:
Dr. Ahmad M Hadied
48 years experience Orthopedic Surgery
Let me help: Pleurisy is an inflammation of the pleura, the lining of the pleural cavity surrounding the lungs.The inflamed pleural layers rub against each other e ... Read More
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A 42-year-old member asked:
Dr. Aaron Milstone
26 years experience Pulmonology
Serositis: These all involve inflammation of the lining of the organ (pericarditis = inflammation of the lining of the heart, pleurisy = lining of the lung and p ... Read More
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3 thanks
A 39-year-old female asked:
Dr. Robert Uyeda
44 years experience General Surgery
Difficult to tell: sometimes. Fever, pain on respiration, and pleuritic rub favor pleurisy. Local tenderness favors costochondritis. More importantly, yo need to make ... Read More
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A 34-year-old female asked:
Dr. Paul Velt
Dr. Paul Velt answered
41 years experience Diagnostic Radiology
Difficult to do: Somethings the lung sounds are similar. Pneumonia on chest X-ray has a picture that may be characteristic. Bronchitis on the other hand often times ha ... Read More
A 44-year-old member asked:
Dr. Carlos Jesurun
47 years experience Neonatology
Hard to tell: This is always a problem for the practitioner and nurse. Both conditions may be tender and inflammed so it is hard to tell. Hypertonic fluids such as ... Read More
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A 38-year-old member asked:
Dr. Michael Ein
47 years experience Infectious Disease
See below: Pneumonia causes cough, fever, sometimes shortness of breath and chest pains. Rales are heard on auscultation of the lungs and an infiltrate is seen o ... Read More
A 39-year-old member asked:
Dr. Edward Hellman
28 years experience Orthopedic Surgery
History and exam: Costochondritis would usually be associated with persistent tenderness if the ribs at the costchondral junction; gallbladder problems cause right uppe ... Read More
A 38-year-old member asked:
Dr. Andre Panagos
21 years experience Physical Medicine and Rehabilitation
Yes: A sprain is of the muscle tendon and a torn muscle is of the muscle itself. Muscle injuries heal much faster (several weeks) than tendon injuries (sev ... Read More
A 34-year-old female asked:
Dr. Charles Cattano
38 years experience Gastroenterology
Rome 3 ; testing: Ibs is a diagnosis of exclusion. Rome 3 criteria helps. For example, mucus (a colon lubricant) when present in large volume may signal not only proble ... Read More
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A 38-year-old male asked:
Dr. Ahmad Ibrahim
18 years experience Urgent Care
Examination: I would examine for other causes before diagnosing anxiety. We have a few tests and basic history and physical would narrow down the diagnosis.
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A 47-year-old member asked:
Dr. Vance Harris
36 years experience Family Medicine
They can be similar: Mesenteric lymphadenitis is an inflammation of the lymph nodes in the membrane that attaches your intestine, or bowel, to your abdominal wall. Mesente ... Read More
A 54-year-old member asked:
Dr. Lawrence Shulman
20 years experience Pulmonology
Chest xray: The best way to tell the difference is with a chest xray which would diagnosis pneumonia - without an abnormality on chest xray, it is most likely bro ... Read More
A 53-year-old member asked:
Dr. Timothy Wu
17 years experience Vascular Surgery
Need imaging: Clinically you really can't tell easily which patient has had a hemorrhagic vs an ischemic (because of an embolus) stroke. There are some subtle clini ... Read More
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A 41-year-old member asked:
Dr. Mario Matos-Cruz
38 years experience Thoracic Surgery
Troponin: Serial troponin elevation is very sensitive for myocardial cell death. Clinical suspiciousness may lead to diagnose an acute myocardial infarction bef ... Read More
A 55-year-old member asked:
Dr. Christopher Dowd
19 years experience Internal Medicine
One can cause..: The other. A stomach virus that leads to vomiting, poor intake, diarrhea can lead to someone getting behind in fluids (dehydration). A stomach bug of ... Read More
A 43-year-old member asked:
Dr. Bennett Werner
43 years experience Cardiology
Notching: Notching. Because blood can't reach the left arm and lower body, the intercostal arteries (which run between the ribs) enlarge to bypass the area of b ... Read More
A 43-year-old member asked:
Dr. Louis Grenzer
54 years experience Cardiology
See below: Esophagus spasm would be more likely to produce pain whereas palpitation is usually a fluttering sensation. The word palpitation refers to the feeling ... Read More
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A 43-year-old member asked:
Dr. Donald Jacobson
39 years experience Psychiatry
You will know: And asthma there's a feeling of tightness in the chest with wheezing and inability to get air. The symptoms are limited to that plus some anxiety that ... Read More
A 46-year-old female asked:
Dr. Geraldine Goertzen
29 years experience Emergency Medicine
The same: The flu is a virus. Both are generally self limited problems.
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1 thank
A 37-year-old male asked:
Dr. Donald Colantino
60 years experience Internal Medicine
Chest xray: Often a physician can tell by examining a patient's chest whether bronchitis or pneumonia is present by listening to the lung sounds as the patient br ... Read More

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