Pleural Friction Rub: Difference between revisions
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A '''Pleural friction rub''' or '''Pleural rub''', is an audible raspy breathing sound, a medical sign present in some patients with pleurisy and other conditions affecting the chest cavity. It can be noticed by listening to the internal sounds of the body, usually using a stethoscope on the lungs. | A '''Pleural friction rub''' or '''Pleural rub''', is an audible raspy breathing sound, a medical sign present in some patients with pleurisy and other conditions affecting the chest cavity. It can be noticed by listening to the internal sounds of the body, usually using a stethoscope on the lungs. | ||
These are the squeaking or grating sounds of the pleural linings rubbing together. It is best described as the sound made by treading on fresh snow. Pleural rubs are common in [[pneumonia]], [https://www.physio-pedia.com/Pulmonary_Embolism pulmonary embolism], and pleurisy. Because these sounds occur whenever the patient's chest wall moves, they appear on inspiration and expiration. | These are the squeaking or grating sounds of the pleural linings rubbing together. It is best described as the sound made by treading on fresh<ref name=":0" /> snow. Pleural rubs are common in [[pneumonia]], [https://www.physio-pedia.com/Pulmonary_Embolism pulmonary embolism], and pleurisy. Because these sounds occur whenever the patient's chest wall moves, they appear <ref>Adderley N, Sharma S. [https://www.ncbi.nlm.nih.gov/books/NBK537118/ Pleural Friction Rub]. StatPearls [Internet]. 2020 Feb 21.</ref>on inspiration and expiration. | ||
(Click [https://www.physio-pedia.com/Lung_Anatomy here] to read about the anatomy of pleura) | (Click [https://www.physio-pedia.com/Lung_Anatomy here] to read about the anatomy of pleura) | ||
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Pleural friction rub occurs when the two layers of tissue become inflamed or if they lose the lubrication between them. A pleural friction rub may be a symptom of a serious lung condition. | Pleural friction rub occurs when the two layers of tissue become inflamed or if they lose the lubrication between them. A pleural friction rub may be a symptom of a serious lung condition. | ||
{{#ev:youtube|xxVvxdoAUPk|300}}<ref >ThinkLabs. Pleural Friction Rub. Available from: https://www.youtube.com/watch?v=xxVvxdoAUPk [last accessed 24/3/2021]</ref> | {{#ev:youtube|xxVvxdoAUPk|300}}<ref name=":0">ThinkLabs. Pleural Friction Rub. Available from: https://www.youtube.com/watch?v=xxVvxdoAUPk [last accessed 24/3/2021]</ref> | ||
== Causes == | == Causes == | ||
Revision as of 09:31, 24 March 2021
Original Editor - Chelsea McLene
Top Contributors - Chelsea Mclene, Kim Jackson and Khloud Shreif
Introduction[edit | edit source]
A Pleural friction rub or Pleural rub, is an audible raspy breathing sound, a medical sign present in some patients with pleurisy and other conditions affecting the chest cavity. It can be noticed by listening to the internal sounds of the body, usually using a stethoscope on the lungs.
These are the squeaking or grating sounds of the pleural linings rubbing together. It is best described as the sound made by treading on fresh[1] snow. Pleural rubs are common in pneumonia, pulmonary embolism, and pleurisy. Because these sounds occur whenever the patient's chest wall moves, they appear [2]on inspiration and expiration.
(Click here to read about the anatomy of pleura)
Pleural friction rub occurs when the two layers of tissue become inflamed or if they lose the lubrication between them. A pleural friction rub may be a symptom of a serious lung condition.
Causes[edit | edit source]
- Pleurisy (pleuritis) : inflammation of the pleura tissues around lungs.
- Viral infections
- Bacterial infections
- Serositis : Inflammation of the linings of lungs, heart, and abdominal organs.
- Autoimmune conditions like rheumatoid arthritis, inflammatory bowel disease, and juvenile idiopathic arthritis can lead to serositis. Kidney failure, infections, and AIDS are among other potential causes.
- Pleural effusion
- Chest injuries: Broken ribs, Car collisions, assaults, and sports injuries are among potential causes of chest injuries.
Diagnosis[edit | edit source]
- Blood Test
- X-Ray
- Ultrasound
- CT-Scan
- Thoracentesis
Treatment[edit | edit source]
Treatment depends on the underlying cause.
- Antibiotics: If the cause is bacterial infection, antibiotics are administered.
- Nonsteroidal anti-inflammatory drugs to control inflammation.
- Chest tube: To drain any fluid buildup.
- Surgery
Further Reading[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 ThinkLabs. Pleural Friction Rub. Available from: https://www.youtube.com/watch?v=xxVvxdoAUPk [last accessed 24/3/2021]
- ↑ Adderley N, Sharma S. Pleural Friction Rub. StatPearls [Internet]. 2020 Feb 21.
