4.2.1.3 Haemoptysis Flashcards

Conduct a focused history and physical examination to formulate a differential diagnosis in a patient presenting with hemoptysis. Recognize a "must not miss" diagnosis in your differential diagnosis. Prioritize request and interpret special investigations guided by the differential diagnosis in a patient with hemoptysis. Narrow down the differential diagnosis through clinical reasoning to reach the most appropriate diagnosis.

1
Q

haemoptysis

A

Expectoration of blood from the lower respiratort tract

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2
Q

streak vs frank

A
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3
Q

Massive haemoptysis

A

-Large volume of blood /rapid rate of bleeding
Quantifying amount of blood
- Usually >500 mls/24 hrs or 100mls/1 hr
Estimate with cooking measurements: cup,table/tea spoon
- life threatn

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4
Q

2 blood circulations

A

bronchial vs pulmonary

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5
Q

Causes of haemoptysis common=4

A
  • bronchiectasis
    -TB
    -Aspergilloma: form in a lung post disease
    -Carcinoma
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6
Q
A
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