Pleural friction rub: Difference between revisions
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=== 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 === | ||
Revision as of 19:08, 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