pleurisy & costochondritis Flashcards
1
Q
what is Costochondritis
A
benign inflammation of costal cartilage at costosternal joint
2
Q
most common junctions for Costochondritis
A
2nd to 5th
3
Q
what is tietze syndrome
A
rare d/o involving swelling of single costal joint (2nd rib most common)
4
Q
describe the pain with Costochondritis
A
- sharp, aching or pressure-like localized pain
- worse w/ UE movement, deep breathing or exertion
5
Q
PE finding with Costochondritis
A
reproducible pain w/ palpation
6
Q
5 tx options for Costochondritis
A
- acetaminophen or NSAID
- heating pad or warm compress
- limit aggravating activities
- cough suppressants
- local injection if refractory
7
Q
what is pleurisy
A
pleura inflammation most commonly d/t viral infection that spread from the lungs
8
Q
which layer of the pleura has nociceptors
A
parietal layer
9
Q
presentation of pleurisy (2)
A
- localized sharp/stabbing pleuritic chest pain secondary to taking a breath
- prior URI history
10
Q
classic PE finding with pleurisy
A
friction rub
11
Q
3 general tx guidelines for pleurisy
A
- tx chest pain
- tx underlying condition
- smoking cessation
12
Q
first line medication for pleurisy and 2 other options
A
- 1st line: NSAIDs
- narcotics if severe
- PO steroids
