The patient with pleurisy usually presents with abdominal pain and headache and without any history of recent infection or injury.

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The patient reports generally unilateral sharp, needlelike pain, which increases with inspiration and coughing. Additionally, this patient experiences a cough, fever, and chills. Inspirations are shallow, rapid, and restricted. Pain may radiate to the shoulder or abdomen. The patient may attempt to splint the painful area, especially on inspiration.

The Patient with Pleurisy Usually Presents with Abdominal Pain and Headache