Breath Sounds - Pleural Friction Rub

[aoifebreen]

why do I search for these things on youtube on my weekend off from art college?seriously...I have a ton of work to do and I am here ...on the internet ...finding ''inspiration'' through different types of breath sounds...:/ ...why? I am too weird...haha ...a normal 18 year old would be out with friends having a healthy and engaging social life...or in a less naive and romantic view:most likely intoxicated with a handful of fake friends /acquaintances ...*sigh* anyone else here like me?

[Critica1Mind]

Sounds like coarse crackles !

[thunder052006]

Thank you.



[MizukiFester666]

Sounds like purring :)

[petenkofer]

Wow... Dr parth ! ur work is really appreciable...im a medical student..but i have learned so much from ur videos for which a person needs to spend whole life in the hospitals,listening each and every patient.. I am really really grateful to you.May God bless u

[cellularinteraction]

thanks.v useful.will be applying for residency this yr.pls pray to get it in family practice.OR just get into any, if not family practice.

[azncaramel69]

thanks so much!!!

[abeautifulmind1989]

also, what we were taught is that a pleural friction rub will coincide with the breaths, and the pericardial rub will coincide with the heartbeat. like say for an adult, a pleural rub will be heard around 20 times per minute, and the pericardial rub will be heard more like 60-100 times. just another way to help sort the two.

[jameeljo]

According to Macleod's Clinical Examination, 12th edition, p. 174: "A pleural rub is a creaking sound similar to that produced by bending stiff leather or treading in fresh snow..."

Now, I know that this sound perfectly match "treading in fresh snow"... Thanks to you!!!

Jameel, Jordan

[TheRandomDamsel]

resource for my story. Thanks dude!

Sounds kind of like a cat purring... ha.

[resortnurse]

i found a 6 day run of prednisone to really help me.

[he1l1o]

now that's PFR

[Hyakitaki]

Sounds like a creaking or grating to me.

[enjpfluke]

dude- get a CAT SCANNER!

[gypsycatcher101]

@enjpfluke I JUST LOVE SCANNING THEM CATS

[dianne768]

Is this the same as the "death rattle" or is that Rales?

[daltaleighis]

thanks for posting

[impasse0124]

This is probably the easiest of the breath sounds to differentiate.  Thanks for posting this!

[shafiqh84]

cheers mate

[paget2207]

very useful for my Exam..thankyou

[fulekkei]

Okay, if you auscult a friction rub, it can be one of two things:

1. Pleural rub

2. Pericardial rub

If it's pericardial tell pt to hold breath and if sound continues it's pericardial bc those pleura will rub despite held breath. If it stops it's pleural.

If it's pleural it can be due to pneumonia. HOWEVER, a likely cause is pulmonary infarct 2ndary to PE! The dead lung inflames and rubs against the parietal pleura just like with pneumonia.

[ultimatumjs]

cheers, your explanation was really helpful.

[mjain2]

@fulekkei pleural friction rub can also be caused by inflammation of the pleura that results from blunt force trauma to the chest. I was dumped badly onto my boogie board the other day and have since developed a pleural rub. I felt it before I heard it, got my stethoscope and confirmed the best pleural rub I've ever heard in a (relativley) healthy person. Wish I had spent a little more to get the stetho that records sounds!

[ambulaci]

"Szép" pleurális dörzszörej. Ne legyen ilyenem soha!

[likethewater]

could also be pericarditis

[AndrewDHobson]

lobar pneumonia

[juslitome]

what causes pleural rub again?

[drgrimaldo]

Gracias..!!! muy buenas aportaciones!

[Bonitapplebum72]

Pleural rub occurs when the pleura are thickened by inflammation, scaring, or neoplastic cells.

[chriskaien]

thanks!!!