Pleural friction rub: Difference between revisions
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==Overview== | |||
Pleural friction rubs are: | Pleural friction rubs are: | ||
*"Creaking leathery" lung sound | *"Creaking leathery" lung sound | ||
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*Pleural rubbing is characteristic of pleurisy and is associated with pleural effusion and chest pain when breathing. | *Pleural rubbing is characteristic of pleurisy and is associated with pleural effusion and chest pain when breathing. | ||
== | ==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> | 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> | ||
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== Diagnosis == | == Diagnosis == | ||
=== Laboratory Findings === | === Laboratory Findings === | ||
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=== 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 | *narcotics | ||
*chest wraps if pain is present | *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}} | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
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[[Category:Primary care]] | [[Category:Primary care]] | ||
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{{ | {{WS}} | ||
Revision as of 19:04, 13 February 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pleural friction rubs are:
- "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
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
MRI and CT
- Spiral CT
Other Imaging Findings
- V/Q scan
- Pulmonary angiogram
- Arterial blood gas
- D-dimmer assay
Other Diagnostic Studies
- Thoracentesis
Treatment
Medical Therapy
- Administer supplemental oxygen
Acute Pharmacotherapies
- NSAIDs
- narcotics
- chest wraps if pain is present
Prevention
- Isolation if TB or influenza are suspected