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
2
Q
streak vs frank
A
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
4
Q
2 blood circulations
A
bronchial vs pulmonary
5
Q
Causes of haemoptysis common=4
A
- bronchiectasis
-TB
-Aspergilloma: form in a lung post disease
-Carcinoma
6
Q
A