Pleural friction rub: Difference between revisions
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Pleural friction rubs are | ==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: <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]] | ||
| Line 35: | Line 27: | ||
*[[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]] | ||
| Line 48: | Line 40: | ||
== Diagnosis == | == Diagnosis == | ||
=== Laboratory Findings === | === Laboratory Findings === | ||
*Labs include | *Labs include | ||
:* | :*Blood and sputum cultures | ||
:*[[ | :*[[Calcium]] | ||
:*[[CBC]] with differential | :*[[CBC]] with differential | ||
:*[[BUN]] / [[Creatinine]] | :*[[BUN]] / [[Creatinine]] | ||
:*[[ | :*[[Electrolytes]] | ||
:*[[ | :*[[Glucose]] | ||
:*[[ | :*[[Pulse oximetry]] | ||
=== Chest X Ray === | === Chest X Ray === | ||
*May show pleural effusion and could possibly reveal underlying problems | *May show pleural effusion and could possibly reveal underlying problems | ||
=== | === 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- | *D-dimer assay | ||
=== Other Diagnostic Studies === | === Other Diagnostic Studies === | ||
*Thoracentesis | *[[Thoracentesis]] | ||
== Treatment == | == Treatment == | ||
===Medical Therapy=== | |||
*Administer supplemental oxygen | *Administer supplemental oxygen | ||
====Acute Pharmacotherapies==== | |||
=== Acute Pharmacotherapies === | |||
*[[NSAID]]s | *[[NSAID]]s | ||
* | *Narcotics | ||
* | *Chest wraps if pain is present | ||
==Prevention== | |||
*Isolation if TB or influenza are suspected | *Isolation if TB or influenza are suspected | ||
== 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]] | ||
Latest revision as of 23:45, 29 July 2020
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]
- Asbestos-induced pleural disease
- Bornholm disease
- Chest wall tumors
- Devil's grip
- Drug induced pleural disease
- Epidemic dry pleurisy
- Epidemic myalgia
- Estrogen preparations
- Hemothorax
- Major surgery
- Mesothelioma
- Neoplasm
- Pancreatic pleurisy
- Pleural effusion
- Pleurisy
- Pleuritis
- Pleurodynia
- Pneumonia
- Pulmonary infarction
- Pulmonary metastases
- Radiation therapy
- Recurrent polyserositis
- Rheumatic pleural effusion
- Rheumatoid arthritis
- Subphrenic/intra-abdominal abscess
- Systemic lupus erythematosus
- Trauma
- Tuberculosis
- Viral pleurisy
Diagnosis
Laboratory Findings
- Labs include
- Blood and sputum cultures
- Calcium
- CBC with differential
- BUN / Creatinine
- Electrolytes
- Glucose
- Pulse oximetry
Chest X Ray
- May show pleural effusion and could possibly reveal underlying problems
CT
- Spiral CT
Other Imaging Findings
- V/Q scan
- Pulmonary angiogram
- Arterial blood gas
- D-dimer assay
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