Make sure that the listening area is quiet, and importantly, do not listen through the patient's clothing. Warm your stethoscope either by carrying it in your pants pocket or by vigorously rubbing it.

What does a pleural rub sound like?? A straightforward simile to help young clinicians learn what to listen for when auscultating a patient. When teaching a colleague about a pleural rub, explain that ...

FIBRINOUS pericarditis is a well known feature of the uremic state. However, fibrinous pleuritis with pleural pain and friction rub in uremia has received little recognition. During the past 18 months ...