Pleural friction rub: Difference between revisions
Jump to navigation
Jump to search
Ochuko Ajari (talk | contribs) |
|||
| Line 8: | Line 8: | ||
*Both inspiratory and expiratory | *Both inspiratory and expiratory | ||
*Pleural and visceral linings become inflamed due to rubbing during the respiratory process | *Pleural and visceral linings become inflamed due to rubbing during the respiratory process | ||
*Sound is consistent through inhalation and exhalation | *Sound is consistent through [[inhalation]] and [[exhalation]] | ||
*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== | ==Causes== | ||
Revision as of 19:17, 8 April 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