WordNet

cause emotional anguish or make miserable; "It pains me to see my children not being taught well in school" (同)anguish, hurt
a symptom of some physical hurt or disorder; "the patient developed severe pain and distension" (同)hurting
a bothersome annoying person; "that kid is a terrible pain" (同)pain in the neck, nuisance
a somatic sensation of acute discomfort; "as the intensity increased the sensation changed from tickle to pain" (同)pain_sensation, painful sensation
emotional distress; a fundamental feeling that people try to avoid; "the pain of loneliness" (同)painfulness

PrepTutorEJDIC

〈C〉〈U〉(肉体のある部分の)『苦痛』,『痛み』 / 〈U〉(精神的な)『苦痛』,心痛 / 《複数形で》骨折り,苦労,努力 / 〈C〉不快感,いやな感じ;うんざりさせるもの,やっかい者 / (肉体的・精神的に)…‘に'苦痛を与える(受動態にできない)
《補語にのみ用いて》腹を立てて / 《補語にのみ用いて》(心が)鐘ついて / 不愉快な,気まずい
とうちゃん(papa)

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1. 成人における胸痛の鑑別診断 differential diagnosis of chest pain in adults
2. 成人における確定診断を得られていない低血圧やショックの評価および初期アプローチ evaluation of and initial approach to the adult patient with undifferentiated hypotension and shock
3. 成人における全身性エリテマトーデスの肺症状 pulmonary manifestations of systemic lupus erythematosus in adults
4. 関節リウマチ関連肺疾患の概要 overview of lung disease associated with rheumatoid arthritis
5. 成人における胸痛の診断的アプローチ diagnostic approach to chest pain in adults

English Journal

Epipericardial Fat Necrosis: an Underdiagnosed Condition.

Giassi KD1, Costa AN, Bachion GH, Apanavicius A, Filho JR, Kairalla RA, Lynch DA.Author information 1Hospital Sírio-Libanês - Radiology Division R. Dona Adma Jafet, 91 Bela Vista - São Paulo - SP - Brazil Zip Code 01308-050 Phone: 5511 31551806 Radiology Institute (InRad) - Medical School of the University of São Paulo (FMUSP); Av. Dr. Enéas de Carvalho Aguiar, 44 - Consolação - São Paulo- SP - Brazil. Zip Code: 05403-900 Phone: 5511 26615000.AbstractObjectives: Epipericardial fat necrosis is an uncommon benign and self-limited condition that leads patients to the emergency department due to the onset of acute pleuritic chest pain. The aim of this study was to describe the cases of this disease in our institution and to illustrate the associated clinical and radiological findings. Methods: We reviewed 3604 chest scans referred by the emergency department from November 2011 to July 2013. Patients diagnosed with epipericardial necrosis had their medical records and original tomography reports analyzed. Results: Chest pain was the primary complaint in 426 patients; 11 of them had definitive epipericardial fat necrosis findings characterized by a round soft tissue attenuation lesion with a varying degree of strands. All patients presented with pleuritic chest pain on the same side as the lesion. Pericardial thickening, pleural effusion and mild atelectasis were the associated tomography findings. Cardiac enzyme and d-dimer tests performed during the episode were normal in all cases. Only 27% of the cases were correctly diagnosed as epipericardial fat necrosis at the time of presentation. Conclusions: Epipericardial fat necrosis is a benign inflammatory condition frequently overlooked in the emergency department by physicians and radiologists but is an important factor in the differential diagnosis of patients with acute chest pain. Advances in knowledge: the manuscript adds clinical and radiological useful information about the condition and displays the importance of making this correct diagnosis to avoid uneccessary exams.
The British journal of radiology.Br J Radiol.2014 Apr 8:20140118. [Epub ahead of print]
Objectives: Epipericardial fat necrosis is an uncommon benign and self-limited condition that leads patients to the emergency department due to the onset of acute pleuritic chest pain. The aim of this study was to describe the cases of this disease in our institution and to illustrate the associated
PMID 24707937

Pneumothorax as a presentation of perforated duodenal ulcer.

Mahdi SA1, Kareem Alnajjar FJ, Hussain K.Author information 1Rashid Hospital Trauma Center, Dubai Health Authority, Dubai, United Arab Emirates.AbstractA young man presented with a sudden onset of severe abdominal pain and vomiting. He also had shortness of breath with right-sided pleuritic chest pain. On examination he was found to have a rigid and diffusely tender abdomen. Auscultation of the chest revealed reduced air entry into the right lung. An erect chest X-ray confirmed the presence of pneumoperitoneum and a right-sided pneumothorax. He underwent placement of a right intercostal drain followed by urgent laparotomy. The intraoperative findings were consistent with a small duodenal perforation, which was managed by a simple omental patch closure. His postoperative course was uneventful. Pneumothorax is a rare complication of perforated duodenal ulcer and should be kept in mind while assessing patients who present with abdominal pain and dyspnoea. We have discussed various possibilities that should be considered in patients who present with a concomitant pneumothorax and pneumoperitoneum.
BMJ case reports.BMJ Case Rep.2014 Apr 3;2014. pii: bcr2013201370. doi: 10.1136/bcr-2013-201370.
A young man presented with a sudden onset of severe abdominal pain and vomiting. He also had shortness of breath with right-sided pleuritic chest pain. On examination he was found to have a rigid and diffusely tender abdomen. Auscultation of the chest revealed reduced air entry into the right lung.
PMID 24700032

Chest pain in a young patient: an unusual complication of Epstein-Barr virus.

Raman L1, Rathod KS, Banka R.Author information 1Barking Havering Redbridge University Hospital NHS Trust, Ilford, Essex, UK.AbstractA 29-year-old man presented with sudden left-sided pleuritic chest pain on a background of sore throat during the preceding week. On examination he had tender cervical lymphadenopathy, he was tachycardic and had a 24 mm Hg blood pressure difference between the left and right arms. Bloods revealed deranged liver function tests and a lymphocytosis. His D-dimer was raised, hence he was treated for presumed pulmonary embolism before imaging was available. Monospot test was positive. He subsequently had both a CT pulmonary angiogram and a CT angiogram of the aorta to exclude pulmonary embolism and aortic dissection. The CT revealed splenomegaly with a large subdiaphragmatic haematoma secondary to splenic rupture. This had likely caused referred pain through diaphragmatic irritation. He was taken to theatre for urgent splenectomy. The unifying diagnosis was infectious mononucleosis complicated by spontaneous splenic rupture secondary to Epstein-Barr virus infection.
BMJ case reports.BMJ Case Rep.2014 Mar 31;2014. pii: bcr2013201606. doi: 10.1136/bcr-2013-201606.
A 29-year-old man presented with sudden left-sided pleuritic chest pain on a background of sore throat during the preceding week. On examination he had tender cervical lymphadenopathy, he was tachycardic and had a 24 mm Hg blood pressure difference between the left and right arms. Bloods revealed de
PMID 24686796

Japanese Journal

Recurrent Pneumomediastinum in Two Young Adults

Lee Deok Heon,Kim Gun-Jik,Lee Youngok,Lee Sang Cjeol
Annals of Thoracic and Cardiovascular Surgery 20(Supplement), 517-520, 2014
… The other case was a 17-year-old male whose presenting symptom was right and left pleuritic chest pain, respectively, without any predisposing or precipitating factors. …
NAID 130004889748

Purulent Pericarditis and Cardiac Tamponade Caused by Nocardia farcinica in a Nephrotic Syndrome Patient

Sirijatuphat Rujipas,Niltwat Sorachat,Tiangtam Orathai,Tungsubutra Wiwun
Internal Medicine 52(19), 2231-2235, 2013
… A 53-year-old man with nephrotic syndrome that required chronic corticosteroid therapy presented with pleuritic chest pain and cardiac tamponade. …
NAID 130003392587

Recurrent Pneumomediastinum in Two Young Adults

Lee Deok Heon,Kim Gun-Jik,Lee Youngok,Lee Sang Cjeol
Annals of Thoracic and Cardiovascular Surgery, 2013
… The other case was a 17-year-old male whose presenting symptom was right and left pleuritic chest pain, respectively, without any predisposing or precipitating factors. …
NAID 130003377925