Auscultation Training by Repetition

Pleural Rubs

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Listen for 2-3 minutes

Seated

Diaphragm

Listening Tips

Plural rubs are creaking or grating sounds that have been described as being similar to walking on fresh snow or a leather-on-leather type of sound. Pleural rubs stop when the patient holds a breath.

Repetition Training - Basic Lung Sounds

Table of Contents

1	Crackles - Fine (Rales)	72
2	Crackles - Coarse (Rales)	73
3	Wheeze	71
4	Rhonchi - Low Pitched Wheezes	75
5	Bronchial	76
6	Pleural Rubs	77

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Lesson Text

Pleural rubs are discontinuous or continuous, creaking or grating sounds. The sound has been described as similar to walking on fresh snow or a leather-on-leather type of sound. Coughing will not alter the sound. They are produced because two inflamed surfaces are sliding by one another, such as in pleurisy.

During auscultation, pleural rubs can usually be localized to a particular place on the chest wall. They also come and go.

Because these sounds occur whenever the patient's chest wall moves, they appear on inspiration and expiration. Pleural rubs stop when the patient holds her breath. If the rubbing sound continues while the patient holds a breath, it may be a pericardial friction rub.

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soundID	55
maneuver	Seated
Title	Pleural Rubs
Position	Anterior-3L
realSoundID	6107
caseID	77
S1
Systole
S2
Diastole
features	Plural rubs are creaking or grating sounds that have been described as being similar to walking on fresh snow or a leather-on-leather type of sound. Pleural rubs stop when the patient holds a breath
lung sounds	True
chestpiece	Diaphragm