Pleural discomfort usually is sharp or catchlike and is often unilateral. When the diaphragmatic pleura is involved, the discomfort may radiate to the shoulder. The most important characteristic of pleural pain is its exacerbation by deep inspiration or cough. Movement of the torso may increase its intensity. Associated fever and productive cough suggest pneumonia as the cause.
Spontaneous pneumothorax produces an abrupt onset of chest pain and dyspnea.
Pulmonary infarction secondary to embolism is another cause of pleuritic pain and may be accompanied by hemoptysis. The combination of chest pain and hemoptysis can also suggest the presence of a lung tumor. Return to Top . HEST P AIN Anxiety-related chest pain can take several forms. Often precordial in location, the discomfort may be a constant ache, present for hours or longer.