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Doctor insights on: Pleural Rub

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Whats the difference between pleural friction rub, pleuritic pain, pleuritis & pleural chest pain?

Whats the difference between pleural friction rub, pleuritic pain, pleuritis & pleural chest pain?

Similar: Rub is the sound we hear when a stethoscope is placed on the chest. This is due to the two surfaces of pleura rub against each other when lacking in normally occurring lubricant fluid. Pleuritic pain/ pleural chest pain is due to inflammation of pleura. ...Read more

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Does pleural effusion create pressure on lungs?

Does pleural effusion create pressure on lungs?

It can: Pleural effusion i fluid collection in the space around the lungs. There are many causes. The fluid can compress the lung making it difficult to breathe. It may need to be drained. ...Read more

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My chess X-ray result :bilateral apical pleural thickening with underlying sub pleural blebs. Is it a TB scar ?

My chess X-ray result :bilateral apical pleural thickening with underlying sub pleural blebs. 
Is it a TB scar  ?

Maybe: Apical pleural thickening could be due to TB but it could be due to previous other infections. Blebs may be due to emphysema as well. Are you a smoker? A pulmonary specialist can sort it out for you. ...Read more

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Can pericardial rub be heard on a heart echo?

Can pericardial rub be heard on a heart echo?

Yes: Pericardial friction rubs are notoriously ephemeral; one physician will hear it and it's gone by the time the next physician listens. This is to be expected since there must be exactly the right amount of fluid for the two layers to rub each other and make a sound. Echo answers a deeper question -- is there inflammatory fluid in the pericardial sack? ...Read more

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My chest xray findings: clear lungs. Apical pleural thickening. Is it serious?

My chest xray findings: clear lungs. Apical pleural thickening. Is it serious?

Probably not.......: This is most likely the result of previous infection. Typically this thickening will look the same on the right and left with only some minor difference in thickness. If this is the case it is most likely nothing to worry about and just a follow-up chest xray to give you peace of mind. If there is a marked asymmetry or associated bone destruction this would need further evaluation. ...Read more

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What is minimal pleural effusion? Pleurodiaphragmatic adhesion left.?

What is minimal pleural effusion? Pleurodiaphragmatic adhesion left.?

Explained below: There is a collection of fluid in an estimated small amount around your lung. On the left there is most likely a focal area of scar connecting the lining of the lung called the pleura with the diaphragm. Did you have an empyema? An infection in the pleural space and/or a chest tube placed? ...Read more

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Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.

Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.

If you have: previous chest X-rays to compare, that would be helpful in making the determination between mild pleural thickening(scarring) or effusion(fluid). There are numerous potential etiologies for each. Further imaging could include ultrasound, special chest xray views(decubitus views ), or CT scan. ...Read more

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Minimal atelectatic medically rt middle lobe and lingular area on lt with multiple small nodules with subpleural density and pleural-based no pleural effusion or pneumothorax what does this mean?

Bronchoscopy: First you will need a diagnosis of what these nodules are. The atelectases in both lungs should be evaluated by looking at the airways to make sure there is no nodule in the airways causing collapse and in addition the bronchoscopy may just give all the diagnosis. Good luck. ...Read more

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Does Vicks vapor rub really help cure toe nail fungus?

Does Vicks vapor rub really help cure toe nail fungus?

NO: No, vicks vapor rub does not cure toenail fungus. What it does is breakdown the actual nail construct and make it more pilable and softer to debride/trim down. Nail fungus is actually an infection of the toenail bed and you need actual antifungal medication topical, oral, or laser therapy to cure. Hope this helps. ...Read more

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Can localised 2nd degree contact burns on ribcage (metal rod 20 second contact) damage underlying lung tissue?

Can localised 2nd degree contact burns on ribcage (metal rod 20 second contact) damage underlying lung tissue?

Highly unlikely: It depends on if there is any other trauma with the impact of the rod, but a 2nd degree burn itself should not cause any damage to the lung. A 2nd degree burn by definition is only a partial thickness injury to the skin only, so you should have no worries. ...Read more

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Cardiomediastinal silhouette. Lungs are clear. No pleural effusion or pneumothorax. Do I have heart murmur?

Dr. Tony Su Dr. Su
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Cardiomediastinal silhouette. Lungs are clear. No pleural effusion or pneumothorax. Do I have heart murmur?

Heart sounds: Heart murmurs are found while listening to the heart with a stethoscope and evaluated with an echocardiogram (ultrasound of the heart) to determine it poses a problem. Chest x-ray can show complications of having heart murmurs from valve problems such as heart failure and enlarged heart chambers. ...Read more

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Pleural effusion in a pt with lung cancer. Do you drain it?

Pleural effusion in a pt with lung cancer. Do you drain it?

Only if symptomatic: High likelihood for recurrence so only if severe short of breath. ...Read more

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Dear doctor, why doesn't pleural plaques cause chest pain if they originate in the parietal layer?

Pleural plaques: Are fibrous tissues once seen and not inflammatory processes that can cause stickiness of the pleural surfaces. Like most scars that we have, the nerves in that area is either destroyed or not exposed, (try to touch your scar). And hence there is no pain. There are those who do feel persistent pain. ...Read more