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Pleural Rubs

When auscultation is performed, pleural rubs can often be heard as creaking or grating sounds. These are produced by two inflamed surfaces rubbing against each other - similar to walking on fresh snow or the sound of leather-on-leather. Coughing does not affect these noises and they will usually change in intensity with respiration cycle (aimilarly increasing at inspiration, decreasing at expiration). A crucial distinction between them and pericardial friction rubs is that those continue even when patient holds their breath whilst a pleural rub stops immediately thereafter.

Patient Recording

patient heart or lung sound
Pleural Rubs

Patient Recording - Half Speed

patient heart or lung sound
Pleural Rubs

Position

Patient position
The patient's position should be seated.

Listening Tips

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

Waveform (Phonocardiogram)

Authors and Sources

Authors and Reviewers


Sources

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Pleural Rubs | Lessons with Audio and Video | #77


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