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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. [9] It feels worse with deep breathing, coughing, sneezing, or laughing. The pain may stay in one place, or it may spread to the shoulder or back. [10]
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Referred pain, also called reflective pain, [1] is pain perceived at a location other than the site of the painful stimulus.An example is the case of angina pectoris brought on by a myocardial infarction (heart attack), where pain is often felt in the left side of neck, left shoulder, and back rather than in the thorax (chest), the site of the injury.
Subcutaneous emphysema has a characteristic crackling-feel to the touch, a sensation that has been described as similar to touching warm Rice Krispies. [2] This sensation of air under the skin is known as subcutaneous crepitation, a form of crepitus. Numerous etiologies of subcutaneous emphysema have been described.
Non-cardiac reasons for chest pain on the left side. The skin, nerves, muscles, bones, tendons, soft tissue, and cartilage all share real estate on the left side.
Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
They cause muscle tension on the cricoid cartilage, leading to a globus feeling. Pharyngeal spasms, a more common source of a globus feeling, cause tension on the thyroid cartilage. They move up and down, left and right in the pharyngeal muscles. Both may be present. The patient complains about the signs and symptoms enumerated above.
A chest x-ray of a patient with severe viral pneumonia due to SARS In adults, viruses account for about one third of pneumonia cases, [ 12 ] and in children for about 15% of them. [ 44 ] Commonly implicated agents include rhinoviruses , coronaviruses , influenza virus , respiratory syncytial virus (RSV), adenovirus , and parainfluenza .