During auscultation of the chest, your exam reveals a loud grating sound at the lower anterolateral lung fields, at full inspiration and early expiration. This finding is consistent with:
A. Pneumonia
B. Pleuritis
C. Pneumothorax
D. A and B
ANS: D
An adventitious sound, called a pleural friction rub, is a typically loud, grating sound produced when the two inflamed and roughened surfaces of the visceral and parietal pleurae rub together. A friction rub is usually noted in the late inspiratory and early expiratory phases and in the lower anterolateral lung fields. Examples of conditions that result in a pleural rub include pneumonia, pleuritis, and malignancy.
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Indicate whether the statement is true or false
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