Listen: A pericardial friction rub is high-pitched, may be transient, and is typically triphasic and heard best with the patient leaning forward. This is a specific finding for active pericarditis and is reported in about one-third of cases of acute pericarditis. https://ja.ma/3AQcRA6 | JAMA
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Pleural Friction Rub Sound Symptoms, Causes, Risks, and Treatments
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When do you hear friction rub? - TimesMojo
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Jul 7, 2022
timesmojo.com
ABRASIVE FIBRIN FILAMENTS & THE PERICARDIAL FRICTION RUB In acute pericarditis, the once-smooth pericardial layers become inflamed and roughened by abrasive fibrin filaments. Instead of gliding effortlessly with each heartbeat, these irritated surfaces scrape against each other—creating the classic pericardial friction rub. This harsh, leathery, sandpaper-like sound is often best heard at the left lower sternal border, leaning forward, during end-expiration. It’s a small sound with big clinical
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