WordNet

move over something with pressure; "rub my hands"; "rub oil into her skin"
the act of rubbing or wiping; "he gave the hood a quick rub" (同)wipe
cause friction; "my sweater scratches" (同)fray, fret, chafe, scratch
scrape or rub as if to relieve itching; "Dont scratch your insect bites!" (同)scratch, itch
the resistance encountered when one body is moved in contact with another (同)rubbing
effort expended in moving one object over another with pressure (同)detrition, rubbing
located around the heart or relating to or affecting the pericardium; "pericardial space" (同)pericardiac

PrepTutorEJDIC

〈物の表面など〉‘を'『こする』,さする / (…に)…‘を'こすりつける《+名+『against(on, over)』+名》;(…に)…‘を'すりこむ《+『名』+『in』(『into, on』)+『名』》 / 〈二つの物〉‘を'こすり合わせる《+『名』+『together,』+『together』+『名』》 / ‥‘を'こすり落とす《+『名』+『away』(『off』)『,』+『away』(『off』)+『名』》 / …‘を'すりむく,ひりひりさせる / (…の表面を)『こする』,すれる《+『against』(『on』)+『名』》;〈二つの物が〉こすれ合う《+『together』》 / 《単数形で》こすること / 当てこすり / 《the rub》やっかいな事,困難
〈U〉摩擦,こすること / 〈U〉〈C〉衝突,不和
roentgen / recto

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/02/16 08:42:40」(JST)

wiki en

A pericardial friction rub, also pericardial rub, is an audible medical sign used in the diagnosis of pericarditis.^[1] Upon auscultation, this sign is an extra heart sound of to-and-fro character, typically with three components, one systolic and two diastolic. It resembles the sound of squeaky leather and often is described as grating, scratching, or rasping. The sound seems very close to the ear and may seem louder than or may even mask the other heart sounds. The sound usually is best heard between the apex and sternum but may be widespread.

Cause

The pericardium is a double-walled sac around the heart. The inner and outer (visceral and parietal, respectively) layers are normally lubricated by a small amount of pericardial fluid, but the inflammation of pericardium causes the walls to rub against each other with audible friction. In children, rheumatic fever is often the cause of pericardial friction rub.

Differential diagnosis

Pericardial friction rub is one of several, similar sounds. A differential diagnosis may be possible, or not, depending upon the number of components that are audible. Pericardial friction rub may have one, two, or three audible components, whereas the similar pleural friction rub ordinarily has two audible components. One- and two-component rubs are ambiguous. A three-component rub distinguishes a pericardial rub and indicates the presence of pericarditis. Also, a pleural rub can only be heard during inspiration and expiration, whereas, the pericardial rub can be heard even after cessation of breathing. Pleural rub creates pain mostly on the lateral part of the chest wall, whereas pain due to pericardial rub is always central in location. The intensity of pleural rub is increased on pressing the diaphragm of the stethoscope over the affected area, whereas there is no such change in case of a pericardial rub.

References

^ Tingle LE, Molina D, Calvert CW (November 2007). "Acute pericarditis". Am Fam Physician 76 (10): 1509–14. PMID 18052017.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 急性心膜炎の臨床症状および診断的評価 clinical presentation and diagnostic evaluation of acute pericarditis
2. 心音の聴診 auscultation of heart sounds
3. 心膜疾患の病因 etiology of pericardial disease
4. 再発性心膜炎 recurrent pericarditis
5. 心筋梗塞の心膜合併症 pericardial complications of myocardial infarction

English Journal

Uremic pericarditis: a report of 30 cases and review of the literature.

Sadjadi SA1, Mashahdian A1.
The American journal of case reports.Am J Case Rep.2015 Mar 22;16:169-73. doi: 10.12659/AJCR.893140.
PATIENT: Male, 71 • Male, 69 • . Female, 49.FINAL DIAGNOSIS: Uremic pericarditis.SYMPTOMS: —MEDICATION: —CLINICAL PROCEDURE: Hemodialysis.SPECIALTY: Nephrology.OBJECTIVE: Rare disease.BACKGROUND: Uremic pericarditis, common at one time among dialysis patients, has become a rare entity in rec
PMID 25796283

Post-pericardiotomy syndrome in pediatric patients following surgical closure of secundum atrial septal defects: incidence and risk factors.

Heching HJ1, Bacha EA, Liberman L.
Pediatric cardiology.Pediatr Cardiol.2015 Mar;36(3):498-502. doi: 10.1007/s00246-014-1039-7. Epub 2014 Oct 8.
Surgical repair for atrial septal defects (ASD) generally occurs during childhood. Post-pericardiotomy syndrome (PPS) after cardiac surgery has a reported incidence of 1-40 %. We focused exclusively on secundum ASD repair to evaluate the incidence of PPS. The purpose of this study is to determine t
PMID 25293428

Autoimmunity and autoinflammation as the yin and yang of idiopathic recurrent acute pericarditis.

Cantarini L1, Lopalco G2, Selmi C3, Napodano S4, De Rosa G4, Caso F5, Costa L6, Iannone F2, Rigante D4.
Autoimmunity reviews.Autoimmun Rev.2015 Feb;14(2):90-7. doi: 10.1016/j.autrev.2014.10.005. Epub 2014 Oct 12.
Autoimmunity and autoinflammation are generally considered as mutually exclusive mechanisms of diseases but may concur to specific syndromes. Idiopathic recurrent acute pericarditis (IRAP) is defined as the recurrence of pericardial symptoms at any point following the prior cessation of acute perica
PMID 25308531

Japanese Journal

Esophageal Cancer with an Esophagopericardial Fistula and Purulent Pericarditis

Internal Medicine 52(2), 243-247, 2013
NAID 130003365855

消化管穿孔により発症した高齢者心嚢気腫症の１例

日本老年医学会雑誌 32(2), 123-127, 1995
NAID 130003652104

GALLIUM-67 CITRATE SCINTIGRAPHY IN IDIOPATHIC PERICARDITIS : Report of a Case

Japanese circulation journal 58(4), 298-302, 1994-03-20
NAID 110002590595

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