Pinpointing pleuritic pain

Dr Jason Kaplan 

Cardiologist in private practice with the Sydney Cardiology Group.

Clinical scenario

A 45-year-old man presents to your surgery one morning with central chest discomfort. He has had a recent viral upper respiratory tract infection and awoke during the night with pleuritic sounding chest pain that was worse on inspiration and seemed to get better when he sat forward.

There is some