Pleural Rubs | Auscultation Cheat Sheet with Sounds & Video | #77

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 Sounds

patient heart or lung sound
Pleural Rubs patient recording

Half Speed Patient Sounds

patient heart or lung sound
Pleural Rubs half speed

Technique

Patient position
The patient's position should be seated.

Auscultation 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

Sound Wave

Authors and Sources

Authors and Reviewers


Sources

  • Electrocardiography for Healthcare Professionals, 6th Edition Kathryn Booth and Thomas O'Brien
    ISBN10: 1265013470, ISBN13: 9781265013479
    McGraw Hill, 2023
  • Rapid Interpretation of EKG's, Sixth Edition
    Dale Dublin
    Cover Publishing Company
  • EKG Reference Guide
    EKG.Academy
  • 12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
    Aaron Reed
    Create Space Independent Publishing
  • Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
    Elsevier-Health Sciences Division
    Barbara A. Erickson, PhD, RN, CCRN
  • The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG Jonathan Keroes, David Lieberman
    Publisher: Lippincott Williams & Wilkin)
    ISBN-10: 0781784425; ISBN-13: 978-0781784429
  • Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
  • ECG Reference Guide
    PracticalClinicalSkills.com
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Pleural Rubs | Auscultation Cheat Sheet with Sounds & Video | #77




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