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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To make a diagnosis of pericarditis you need two of the following four things: 🩺 Typical Chest Pain 🩺 Pericardial Friction Rub (most people have never heard one but it sounds like a murmur) 🩺 Typical ECG Changes 🩺 Non-Trivial Pericardial Effusion Dr Adam Michael is a Specialist Emergency Physician and expert in this area! To learn more important emergency medicine knowledge, follow us at @emcoreshow_ or join us at an EMCORE conferences. Dr Michael is speaking with us in Melbourne next Februa
To make a diagnosis of pericarditis you need two of the following fou…
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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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