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friction rub

A grating or scratching sound, heard with a stethoscope, made when two inflamed layers of tissue move against each other.

FRIK-shun RUB noun

What it means

Often just called a rub. A pleural friction rub comes from the inflamed layers of the pleura around the lungs and is heard during breathing; it stops if the client holds their breath. A pericardial friction rub comes from the sac around the heart and keeps time with the heartbeat, even when the breath is held.

For the nurse

To tell them apart, ask the client to hold their breath briefly while you listen. Note where the sound is loudest and report a new rub.

At a glance

Also writtenfriction rubs

Related terms

auscultation

Listening to the sounds inside the body, usually with a stethoscope.

pericarditis

Inflammation of the pericardium, the thin sac that surrounds the heart.

pleural space

The thin space between the two layers of the pleura, the membrane that covers the lungs and lines the chest wall.

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