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0:21
YouTube
Stethophone USA
Pericardial friction rub
What Does a Pericardial Friction Rub Sound Like? A pericardial friction rub is a distinctive grating or scratching sound heard during auscultation, strongly suggestive of pericarditis, an inflammation of the sac (pericardium) surrounding the heart. 🧐👂How to recognize it: ️Often described as a "to-and-fro" sound, like sandpaper being ...
1.1K views
Apr 23, 2025
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#Pericardial Friction Rub Causes
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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Acute Pericarditis Epidemiology: ~0.27% incidence; M>F. Diagnosis (≥2 of 4): Pleuritic chest pain, pericardial friction rub, characteristic ECG evolution, new pericardial effusion. ECG Evolution: 1. Stage 1 (Hours-Days): Diffuse concave ST↑, PR↓. Reciprocal ST↓ aVR/V1. 2. Stage 2 (Days-Weeks): ST/PR normalization. 3. Stage 3 (Weeks): Diffuse T-wave inversions. 4. Stage 4 (Weeks-Months): Normalization or persistent T inversion. Management: 📑 Cardionotes · First-line (Acute): NSAID (Ibuprofen) or
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