Pleural Friction Rub: Difference between revisions

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'''Original Editor '''- [https://www.physio-pedia.com/User:Chelsea_Mclene Chelsea McLene]


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== Introduction ==
== Introduction ==
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.


== Sub Heading 2 ==
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.<ref>Jantz MA, Antony VB. [https://www.karger.com/Article/Abstract/113629 Pathophysiology of the pleura. Respiration]. 2008;75(2):121-33.</ref>


== Sub Heading 3 ==
(Click [https://www.physio-pedia.com/Lung_Anatomy here] to read about the anatomy of pleura)


== Resources  ==
Pleural friction rub occurs when the two layers<ref>Charalampidis C, Youroukou A, Lazaridis G, Baka S, Mpoukovinas I, Karavasilis V, Kioumis I, Pitsiou G, Papaiwannou A, Karavergou A, Tsakiridis K. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332049/ Pleura space anatomy. Journal of thoracic disease.] 2015 Feb;7(Suppl 1):S27.</ref> 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.<ref>Wang NS. [https://www.sciencedirect.com/science/article/abs/pii/S0272523105700745 Anatomy of the pleura. Clinics in chest medicine]. 1998 Jun 1;19(2):229-40.</ref>
*bulleted list
*x
or


#numbered list
{{#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>
#x
 
== Causes ==
* [[Pleurisy]] (pleuritis) : inflammation of the pleura tissues around lungs.
* [https://www.physio-pedia.com/Viral_Infections#:~:text=A%20few%20notable%20examples%20that,%2C%20Varicella%2C%20and%20Viral%20hepatitis. Viral infections]
* [https://www.physio-pedia.com/Bacterial_Infections Bacterial infections]
* Serositis : Inflammation of the linings of lungs, heart, and abdominal organs.
* Autoimmune conditions like [https://www.physio-pedia.com/Rheumatoid_Arthritis rheumatoid arthritis], inflammatory bowel disease, and [https://www.physio-pedia.com/Juvenile_Rheumatoid_Arthritis juvenile idiopathic arthritis] can lead to serositis. [[Chronic Kidney Disease|Kidney failure]], infections, and [[Human Immunodeficiency Virus (HIV)|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 ==
* Blood Test
* [[X-Rays|X-Ray]]
* [[Ultrasound Scans|Ultrasound]]
* CT-Scan
* [[Thoracentesis]]
 
== Treatment  ==
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 ==
* [[Pleurodesis]]
* [[Pleurisy]]
* [https://www.physio-pedia.com/Lung_Anatomy Pleura]
* [[Lung Sounds]]


== References  ==
== References  ==


<references />
<references />
[[Category:Assessment]]
[[Category:Cardiopulmonary]]
[[Category:Respiratory]]
[[Category:Respiratory System - Assessment and Examination]]

Latest revision as of 12:24, 20 November 2023

Original Editor - Chelsea McLene

Top Contributors - Chelsea Mclene and Kim Jackson  

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.[3]

(Click here to read about the anatomy of pleura)

Pleural friction rub occurs when the two layers[4] 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.[5]

[1]

Causes[edit | edit source]

Diagnosis[edit | edit source]

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. ↑ 1.0 1.1 ThinkLabs. Pleural Friction Rub. Available from: https://www.youtube.com/watch?v=xxVvxdoAUPk [last accessed 24/3/2021]
  2. ↑ Adderley N, Sharma S. Pleural Friction Rub. StatPearls [Internet]. 2020 Feb 21.
  3. ↑ Jantz MA, Antony VB. Pathophysiology of the pleura. Respiration. 2008;75(2):121-33.
  4. ↑ Charalampidis C, Youroukou A, Lazaridis G, Baka S, Mpoukovinas I, Karavasilis V, Kioumis I, Pitsiou G, Papaiwannou A, Karavergou A, Tsakiridis K. Pleura space anatomy. Journal of thoracic disease. 2015 Feb;7(Suppl 1):S27.
  5. ↑ Wang NS. Anatomy of the pleura. Clinics in chest medicine. 1998 Jun 1;19(2):229-40.
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