Cough with chest pain

Introduction Cough with chest pain is common in pneumonia, pleurisy, bronchial cancer, spontaneous pneumothorax (spontaneous pneumothorax refers to rupture of lung tissue and visceral pleura due to lung disease, or rupture of fine emphysema bubbles near the surface of the lungs, air in the lungs and bronchi. Into the pleural cavity. More common in male young adults or suffering from chronic bronchitis, emphysema, tuberculosis. This disease is one of the pulmonary emergency, severe cases can be life-threatening, timely treatment can be cured).

Cause

Infectious, non-infectious respiratory disease or chest wall disease.

an examination

Related inspection

Chest CT examination chest MRI chest flat chest perspective

1. The chest pain of spontaneous pneumothorax is sudden, accompanied by difficulty in breathing, cough, nausea, and even serious symptoms such as purpura and shock.

2, tingivitis is a sting, the most prominent ribs in the chest expansion is most significant.

3, chest pain of trachea, bronchitis in the cough and breathing significantly increased, accompanied by a chest burning sensation.

4, lung infarction and other lung diseases, pain and pain are mostly confined to the diseased part, there may be knife-like pain, breathing, cough, activity will be aggravated.

5, cough up pink bloody or yellow rust-like sputum, well with chest pain, headache, fever, difficulty breathing, it may be infected with pneumonia.

6, chest wall disease is mainly caused by chest wall muscles, ribs or intercostal nerve lesions, the main feature is cough with chest pain, often fixed in the lesion, and more local tenderness points. Such as: (1) intercostal neuralgia, the site of the intercostal nerve has a tingling sensation, coughing, and will increase when breathing. (2) Chest pain caused by rib fracture, a history of obvious injury or a history of severe coughing. The local pain is markedly tender and more pronounced when squeezed.

Differential diagnosis

Infectious, non-infectious respiratory disease or chest wall disease.

Differential diagnosis of cough with chest pain:

(1) Cough with fever: often due to respiratory infection, bronchiectasis and infection, pleurisy and so on.

(2 cough with wheezing: cough with wheezing can be seen in bronchial asthma, spastic bronchitis, cardiogenic asthma, intratracheal foreign body.

(3) Cough with weight loss: Cough and weight loss should pay attention to tuberculosis, bronchial cancer (primary lung cancer).

(4) cough with dyspnea: cough with dyspnea is common in severe cardiopulmonary disease, massive pleural effusion, spontaneous pneumothorax.

(5) Cough with clubbing finger: The so-called clubbing refers to the obvious widening and thickening of the terminal knuckles, and the nails are curved from the root to the end. Cough with clubbing can be seen in bronchiectasis, chronic abscess.

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