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Ch. 1 The Human Body: An Orientation
Chapter 1, Problem 24

Aiden has been suffering agonizing pain with each breath and has been informed by the physician that he has pleurisy. a. Specifically, what membranes are involved in this condition? b. What is their usual role in the body? c. Explain why Aiden's condition is so painful.

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1
Identify the membranes involved in pleurisy: The pleura are the membranes involved in this condition. They consist of two layers: the visceral pleura, which covers the lungs, and the parietal pleura, which lines the chest cavity.
Describe the usual role of these membranes: The pleurae produce a lubricating fluid that allows the two layers to slide smoothly over each other during respiration, reducing friction between the lungs and the chest wall.
Explain the pathology of pleurisy: In pleurisy, the pleurae become inflamed, which can lead to a reduction in the production of lubricating fluid or an increase in friction between the pleural layers.
Discuss why pleurisy is painful: The inflammation and friction between the pleural layers cause sharp chest pain, especially during breathing, coughing, or sneezing, as the inflamed surfaces rub against each other.
Summarize the impact on breathing: The pain associated with pleurisy can make breathing difficult and shallow, as deep breaths exacerbate the discomfort, leading to potential complications if not managed properly.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Pleura

The pleura are two thin membranes that envelop the lungs and line the chest cavity. The visceral pleura covers the lungs, while the parietal pleura lines the chest wall. In pleurisy, inflammation of these membranes occurs, leading to pain and discomfort during breathing.
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Function of Pleural Membranes

The primary role of the pleural membranes is to facilitate smooth movement of the lungs during respiration. They produce pleural fluid, which acts as a lubricant, reducing friction between the lungs and the chest wall as the lungs expand and contract. This fluid also helps maintain pressure differences necessary for breathing.
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Pain Mechanism in Pleurisy

Aiden's pain is primarily due to the inflammation of the pleura, which can irritate the nerve endings in the membranes. This irritation leads to sharp, stabbing pain, especially during deep breaths, coughing, or sneezing. The inflammation can also cause the pleural layers to rub against each other, exacerbating the pain.
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