Pleural friction rub: Difference between revisions

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==Overview==
==Overview==
Pleural friction rubs are:
Pleural friction rubs are creaking leathery lung sounds, that is both inspiratory and expiratory. Pleural and visceral linings become inflamed due to rubbing during the respiratory process. Sound is consistent through [[inhalation]] and [[exhalation]]. Pleural rubbing is characteristic of [[pleurisy]] and is associated with [[pleural effusion]] and [[chest pain]] when breathing.
*"Creaking leathery" lung sound
*Both inspiratory and expiratory
*Pleural and visceral linings become inflamed due to rubbing during the respiratory process
*Sound is consistent through inhalation and exhalation
*Pleural rubbing is characteristic of pleurisy and is associated with pleural effusion and chest pain when breathing.  


==Causes==  
==Causes==  
In alphabetical order: <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
===Causes in Alphabetical Order: <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>===


*Asbestos-induced pleural disease
*Asbestos-induced pleural disease
*[[Bornholm disease]]
*[[Bornholm disease]]
*Chest wall [[tumors]]  
*Chest wall [[tumors]]  
*Devil's grip
*[[Devil's grip]]
*Drug induced pleural disease
*Drug induced pleural disease
*Epidemic dry pleurisy
*Epidemic dry pleurisy
*Epidemic myalgia
*Epidemic [[myalgia]]
*Estrogen preparations
*[[Estrogen]] preparations
*[[Hemothorax]]
*[[Hemothorax]]
*Major surgery
*Major [[surgery]]
*[[Mesothelioma]]
*[[Mesothelioma]]
*Neoplasm
*[[Neoplasm]]
*Pancreatic pleurisy
*Pancreatic pleurisy
*[[Pleural effusion]]
*[[Pleural effusion]]
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*[[Pleurodynia]]
*[[Pleurodynia]]
*[[Pneumonia]]
*[[Pneumonia]]
*Pulmonary infarction
*[[Pulmonary infarction]]
*Pulmonary metastases
*[[Pulmonary metastases]]
*Radiation therapy
*[[Radiation therapy]]
*Recurrent polyserositis
*[[Recurrent polyserositis]]
*Rheumatic pleural effusion
*Rheumatic pleural effusion
*[[Rheumatoid arthritis]]
*[[Rheumatoid arthritis]]
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*May show pleural effusion and could possibly reveal underlying problems
*May show pleural effusion and could possibly reveal underlying problems


=== MRI and CT ===  
=== CT ===  
*Spiral CT  
*Spiral CT


=== Other Imaging Findings ===
=== Other Imaging Findings ===
*V/Q scan
*[[V/Q scan]]
*Pulmonary angiogram
*[[Pulmonary angiogram]]
*Arterial blood gas
*[[Arterial blood gas]]
*D-dimmer assay
*D-dimer assay


=== Other Diagnostic Studies ===
=== Other Diagnostic Studies ===
*Thoracentesis
*[[Thoracentesis]]


== Treatment ==
== Treatment ==
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====Acute Pharmacotherapies====
====Acute Pharmacotherapies====
*[[NSAID]]s  
*[[NSAID]]s  
*narcotics
*Narcotics
*chest wraps if pain is present
*Chest wraps if pain is present


==Prevention==  
==Prevention==  
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== References ==
== References ==
{{Reflist}}
{{Reflist}}
{{WH}}
{{WS}}


[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Medical signs]]
[[Category:Signs and symptoms]]
[[Category:Signs and symptoms]]
[[Category:Physical examination]]
[[Category:Physical examination]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Primary care]]
{{WH}}
{{WS}}

Latest revision as of 23:45, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Pleural friction rubs are creaking leathery lung sounds, that is both inspiratory and expiratory. Pleural and visceral linings become inflamed due to rubbing during the respiratory process. Sound is consistent through inhalation and exhalation. Pleural rubbing is characteristic of pleurisy and is associated with pleural effusion and chest pain when breathing.

Causes

Causes in Alphabetical Order: [1] [2]

Diagnosis

Laboratory Findings

  • Labs include

Chest X Ray

  • May show pleural effusion and could possibly reveal underlying problems

CT

  • Spiral CT

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

  • Administer supplemental oxygen

Acute Pharmacotherapies

  • NSAIDs
  • Narcotics
  • Chest wraps if pain is present

Prevention

  • Isolation if TB or influenza are suspected

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

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