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  1. Symptoms, diagnosis and treatment - BMJ Best Practice

    Sep 28, 2023 · The classic physical finding is a pericardial friction rub. A low-grade fever may be present. Diagnostic signs include new widespread concave upwards ST elevation or PR depression …

  2. Symptoms, diagnosis and treatment - BMJ Best Practice

    Mar 6, 2025 · The classic physical finding is a pericardial friction rub. A low-grade fever may be present. Diagnostic signs include widespread electrocardiographic ST elevation or PR depression and a new …

  3. Cardiac Auscultation in the Older Adult - Page 6 - Medscape

    Jan 18, 2012 · A pericardial friction rub is heard best at the left lower sternal border (see above), and sounds more scratchy and swishing than continuous. A 3-component friction rub sound suggests …

  4. Evaluation and Management of Pericarditis - Page 4 - Medscape

    The clinical diagnosis of acute pericarditis is based on simple criteria: typical chest pain, pericardial friction rub (Figure 2), widespread ST-segment elevation (Figure 3) and pericardial ...

  5. Nonauscultatory Cardiac Exam: Assessing the Elderly Person

    Jul 8, 2011 · You can accentuate the lift by passively elevating the legs to increase venous return. Occasionally a pericardial friction rub is palpable here. Left Second Intercostal Space

  6. Cardiac Auscultation in the Older Adult - Page 2 - Medscape

    Jan 18, 2012 · Hearing an extra sound during systole at this location suggests an ejection click, the click of mitral valve prolapse, or a pericardial friction rub. Listen to Early Diastole

  7. Evaluation and Management of Pericarditis - Page 3 - Medscape

    The pericardial friction rub is considered to be a pathognomonic-specific physical finding of acute pericarditis. Pericardial friction rub has been reported in 33–85% of cases according to ...

  8. Differential diagnosis of symptoms - BMJ Best Practice

    Jun 11, 2025 · Pleuritis is defined as inflammation of the pleura. The pleural space, a thin fluid-filled space between the lung and the thoracic cavity, enables the smooth frictionless movement of the …

  9. Pericarditis - References | BMJ Best Practice US

    Pericarditis symptoms include sharp, severe retrosternal chest pain worse with inspiration and a supine position. The classic physical finding is a pericardial friction rub. A low-grade fever may be present. …

  10. Prognosis for Pericarditis - Medscape

    Pericardial friction rub and pericardial effusion were associated with a lower incidence of myocardial involvement.