, or Join our Auscultation-Essentials plan. Join

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.

Auscultation Sounds

auscultation sound from lesson

Patient Recording

patient heart or lung sound
Pleural Rubs

Patient Recording - Half Speed

patient heart or lung sound
Pleural Rubs


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


Return to Reference Guide Index Page
Pleural Rubs | Lessons with Audio and Video | #77
? v:2 | onAr:0 | onPs:2 | tLb:2 | tLbJs:0
isPageNeedsInvoke:False | isHome:False | uStat: False | db:0 | pu:False | jsNext:False

An error has occurred. Please reload the page or visit our other website, Practical Clinical Skills. Reload 🗙