Pleural Rub: Causes & Reasons

Possible Causes for Pleural Rub

On examination, restriction to rib movements and pleural rub may be present. Pleural rub may be heard on deep inspiration or around pericardium. [symptoma.com]

On auscultation a loud pleural rub was heard at the left base together with bilateral basal crepitations. [ncbi.nlm.nih.gov]

Patients present with pleuritic chest pain, often with a pleural rub, but without a pleural effusion. [gpnotebook.co.uk]

Viral Pleurisy

It is the rubbing sound of the two pleural layers. Cough Loss of appetite. [tandurust.com]

Your doctor may hear what is known as a pleural rub — a squeaky rubbing sound in the chest. This is a classic sign of pleurisy. [mydr.com.au]

Doctors usually check for a sound caused by pleurisy, often described as a pleural "rub," by listening for the creaky, scratchy sound of the pleura rubbing together during [medbroadcast.com]

Pleural Effusion

[…] friction rub), dullness to conventional percussion was most accurate for diagnosing pleural effusion (summary positive likelihood ratio, 8.7; 95% confidence interval, 2.2 [ncbi.nlm.nih.gov]

The physician will listen to the chest with a stethoscope for signs of decreased breath sounds or a pleural friction rub—the sound of pleura rubbing together during respiration [merckmanuals.com]

[…] evaluated in the included studies (conventional percussion, auscultatory percussion, breath sounds, chest expansion, tactile vocal fremitus, vocal resonance, crackles, and pleural [ncbi.nlm.nih.gov]

Lobar Pneumonia

A pleural rub and reduced expansion on the affected side may be present 5. Consolidation in lobar pneumonia mainly affects the alveolar air spaces. [radiopaedia.org]

Pulmonary Infarction

The symptoms of infarcts are generally spitting up of blood, coughing, fever, moderate difficulty in breathing, increased heartbeat, pleural rubbing, diminished breath sounds [britannica.com]

In addition, a pulmonary infarction that affects the pleural lining of the lungs may produce a distinctive “pleural rubbing” sound that is audible with a stethoscope, a sound [verywell.com]

Dressler Syndrome

Sometimes pleural rubs can also be auscultated when the pleura are involved. This can be distinguished from pericardial rubs by asking the patient to halt respirations. [cancertherapyadvisor.com]

It is characterized by chest pain, fever, pericarditis with a friction rub, pleurisy, pleural effusion, joint pain, and elevated white blood cell count and sedimentation rate [medical-dictionary.thefreedictionary.com]

The pleural rub will be absent with suspension of respirations while pericardial rubs will still be present. E. What diagnostic tests should be performed? 1. [cancertherapyadvisor.com]

Aspiration Pneumonia

rub). [patient.info]

[…] friction rub Altered mental status Hypoxemia Hypotension (in septic shock) In addition, patients may exhibit signs associated with the underlying disease that lead to their [web.archive.org]

Signs may include tachycardia, tachypnoea, decreased breath sounds and dullness to percussion over areas of consolidation, pleural friction rub. [patient.info]

Systemic Lupus Erythematosus

There may be an abnormal sound called a heart friction rub or pleural friction rub. Your provider will also do a nervous system exam. [ufhealth.org]

Radiation Pneumonitis

• Many patients have no abnormal chest findings,while others have crackles or a pleural rub over the area of irradiation. • Dullness to percussion from a small pleural effusion [slideshare.net]

Staphylococcal Pneumonia

Signs: tachypnoea, bronchial breathing, crepitations, pleural rub, dullness with percussion. [patient.info]

Amebic Liver Abscess

Finally, pleural rub and/or pericardial rub are heard in those with complications. [symptoma.com]

Diaphragmatic irritation from abscess might refer pain to the right shoulder or result in cough or pleural rub. [hopkinsguides.com]

Pneumonia

Signs: tachypnoea, bronchial breathing, crepitations, pleural rub, dullness with percussion. [patient.info]

Pleural rub Chest X-ray usually done to confirm the diagnosis Sputum samples and blood tests done to diagnose the type of pneumonia that is present sputum test is done to [physio-pedia.com]

[…] space, causing a rub heard by auscultation, and it may lead to resolution or to organization and pleural adhesions"[12][13] Causes There are many different causes of pneumonia [physio-pedia.com]

Chronic Pulmonary Coccidioidomycosis

[…] friction rub Wheezing Crackles Decreased breath sounds; dullness on percussion; increased tactile and vocal fremitus Hepatomegaly and splenomegaly with disseminated disease [quizlet.com]

[…] sweats Weight loss Assessment-Physical Findings Fever Itchy maculopapular rash Hemoptysis Local swelling and redness in involved sites (with musculoskeletal involvement) Pleural [quizlet.com]

Empyema

As a result, the two layers of the pleural lining rub against each other like two pieces of sandpaper. This causes pain when you breathe in and out. [mayoclinic.org]

Tests may include: Chest X-ray Thoracentesis Pleural fluid Gram stain and culture CT scan of chest Treatment The goal of treatment is to cure the infection and remove the [hopkinsmedicine.org]

Empyema is a condition where pus builds up in the pleural space, often as a complication of pneumonia. [gosh.nhs.uk]

Gram-Negative Pneumonia

Signs: tachypnoea, bronchial breathing, crepitations, pleural rub, dullness with percussion. [patient.info]

[…] friction rub Examination findings that may indicate a specific etiology include the following: Bradycardia: May indicate a Legionella etiology Periodontal disease: May suggest [emedicine.com]

[…] such as rales/crackles, rhonchi, or wheezes Decreased intensity of breath sounds Egophony Whispering pectoriloquy Dullness to percussion Tracheal deviation Lymphadenopathy Pleural [emedicine.com]

Bacterial Pneumonia

Pleural rub Chest X-ray usually done to confirm the diagnosis Sputum samples and blood tests done to diagnose the type of pneumonia that is present sputum test is done to [physio-pedia.com]

[…] friction rub Examination findings that may indicate a specific etiology for consideration are as follows: Bradycardia may indicate a Legionella etiology. [emedicine.medscape.com]

[…] friction rub Examination findings that may indicate a specific etiology include the following: Bradycardia: May indicate a Legionella etiology Periodontal disease: May suggest [emedicine.com]

Streptococcus Pyogenes Pneumonia

Clinical features        Productive cough Pleural pain Sudden expectoration of copious sputum High pyrexia Profound systemic upset Pleural rub Signs of consolidation [de.slideshare.net]

Pleural Adhesions

A pleural friction rub, although infrequent, is the classic physical sign. [merckmanuals.com]

Another method is to rub the pleural membranes during surgical intervention, which leads to pleural adhesion and prevents the recurrence of pneumothorax. [copdrp.biomedcentral.com]

These findings can also be caused by pleural thickening. With large-volume effusions, respiration is usually rapid and shallow. [merckmanuals.com]

Hemothorax

[…] space (pleural friction rub sound) inflammation of pleura with or without pleural effusion causes deposition of fibrinous exudate results in decreased movement between pleura [quizlet.com]

Pleuritic chest pain greater during inspiration causing pt to splint Pleurisy may precede an effusion B/S - friction rub Chest tube (know for board exams) insert in the 6th [quizlet.com]

[…] midaxillary space when draining fluid insert in the 2nd midclavicular space when draining air -air in the pleural space -trauma to the chest caused by diagnostic or therapeutic [quizlet.com]

Pneumococcal Pneumonia

No signs of heart failure or cardiac friction rub were evidenced. Chest radiography showed lobar pneumonia, right pleural effusion and cardiomegaly. [ncbi.nlm.nih.gov]

Pulmonary Candidiasis

rub Important possible extrapulmonary findings include the following: Meningitis (neck stiffness, headaches, mental status change) Brain abscesses Skin lesions (pustules, [emedicine.medscape.com]

[…] findings in patients with fungal pneumonia may include the following: Temperature elevation Tachycardia Tachypnea Respiratory distress Rales Signs of pulmonary consolidation Pleural [emedicine.medscape.com]

Asbestosis

Inflamed pleural membranes rub together, causing more inflammation. This can lead to chest pain with each breath. [pleuralmesothelioma.com]

Pleural effusion stemming from asbestos exposure can lead to pleurisy. [pleuralmesothelioma.com]

Asbestos-Related Pleurisy Pleurisy occurs when layers of the pleura rub against each other. Pleurisy is sometimes referred to as pleuritis. [pleuralmesothelioma.com]

Amebic Lung Abscess

A pleural rub may also be found. [clinicalgate.com]

Chronic Kidney Insufficiency

Abstract Anemia is a major problem in patients with chronic kidney insufficiency. The development of recombinant human erythropoietin has enabled physicians to correct this anemia. Although anemia has not been considered to be a common or important contributor to congestive heart failure, anemia of any cause can[…] [ncbi.nlm.nih.gov]

Small-Cell Carcinoma of the Lung

Metastasis from small-cell carcinoma of the lung (SCCL) has most frequently been found in the lymph nodes, bones, brain, and liver. We have reported a case of metastatic SCCL located in the uveal layer of both eyes (choroidal in one and iridic in the other), an extremely rare occurrence. [ncbi.nlm.nih.gov]

Bronchogenic Carcinoma

We report a case of localized fibrous mesothelioma (LFM) of the pleura with bronchogenic carcinoma. LFM arose in the visceral pleura of the upper lobe in the left lung, and lung adenocarcinoma was located in the ipsilateral lower lobe. LFM is a rare mesenchymal tumor of the pleura. Concomitant occurrence with[…] [ncbi.nlm.nih.gov]

Bronchioloalveolar Carcinoma

In 1999, the World Health Organization (WHO) redefined bronchioloalveolar carcinoma (BAC) to include only those lesions with a so-called pure lepidic (classic) growth pattern with no evidence of invasion by a tumor. If stromal, vascular, or pleural invasion are present, the neoplasm is classified as an adenocarcinoma,[…] [e-immunohistochemistry.info]

Recurrent Small-Cell Carcinoma of the Lung

There is no standard therapy for relapsed small cell lung cancer (rSCLC). We evaluated the efficacy and toxicity of a new triplet consisting of irinotecan (100 mg/m(2) Days 1 and 15 q28), cisplatin (40 mg/m(2) Days 1 and 15 q28) and mitomycin (6 mg/m(2) d1 q28) administered to a maximum of 6 cycles in individuals[…] [ncbi.nlm.nih.gov]

Bronchial Adenocarcinoma

Cancer. 1982 Mar 1;49(5):881-7. Abstract The morphologic distribution of newly synthesized glycoproteins in a bronchioloalveolar carcinoma and in a peripheral bronchial adenocarcinoma with areas of bronchioloalveolar differentiation was determined and compared with bronchiolar epithelium and type II alveolar cells.[…] [ncbi.nlm.nih.gov]

Diffuse Cutaneous Systemic Scleroderma

Chest. 1983 Nov;84(5):546-50. Abstract The pulmonary function and chest roentgenograms were evaluated in 88 patients with the CREST syndrome variant of progressive systemic sclerosis (PSS or scleroderma). Seventy-two percent of the patients had abnormal pulmonary function. An isolated decrease in diffusing[…] [ncbi.nlm.nih.gov]