8. Haemoptysis Flashcards
Why should you worry particularly about haemoptysis?
What diagnoses should you be concerned about in a patient presenting with haemoptysis?
What questions should you ask Mr Morris about the haemoptysis?
What 6 signs would you be looking for on chest radiograph?
What features make the other differential diagnoses less likely?
- TB? Pnemonia? Bronchiectasis? PE?
If the chest radiograph had not shown anything, what further investigations might you have considered?
How should Mr Morris be managed both acutely and in the longer term?
Mr Johnson has a Wells score of 4 (symptoms of a DVT and haemoptysis). Following NICE guidelines, a D-dimer was not performed and the patient proceeded directly to CTPA which confirmed a PE. He was prescribed a prolonged course of anticoagulants and discharged.
What is the Wells criteria for a PE?
What is involved in the management of Primary Ciliary Dyskinesia (PCD)?
List the causes of clubbing.
- 5 Cardiovascular?
- 4 Respiratory?
- 6 GIT?
- 2 Other?
How are lung neoplasms classified? How do they respond to treatment?
Which cancers most commonly metastasize to the lungs? (4)
= 5
What ectopic endocrine secretions are associated with which lung cancers? What symptoms do they cause?
List 6 differentials for a coin lesion on a chest xray?
What is the doctrine of double effect? How is this relevant to a lung cancer patient being treated with opiates for pain relief?
