Goroll Chapter 42- Hemoptysis

Question 1

Necrotizing pneumonia is caused by ?

Answer 1

Klebsiella, causes vascular disruption

Question 2

What is associated with pink frothy sputum?

Answer 2

pulmonary edema

Question 3

What causes hemoptysis and is associated with bruit during ascultation of the lung?

Answer 3

arteriovenous malformation

Question 4

What is the most common cause of hemoptysis?

Answer 4

acute and chronic bronchitis

Question 5

Where do most cases of hemoptysis occur in the lungs?

Answer 5

upper respiratory tract

Question 6

What does coughing up material that resembles currant jelly point to?

Answer 6

lung abscess

Question 7

What does copious amounts of prurlent sputum mixed with blood consistent with?

Answer 7

bronchiectasis

Question 8

Is determing the amount of blood produced help with diagnosis?

Answer 8

No

Question 9

What is an essential diagnostic lab study?

Answer 9

Chest X-ray

Question 10

When should you get sputum stain?

Answer 10

if sputum appears grossly purulent or if pt is febrile

Question 11

What are important causes of gross hemoptysis? (there are 12)

Answer 11

TB
Bronchiectasis
Bronchial adenoma
Bronchogenic carcinoma
Aspergilloma
Necrotizing pneumonia
Lung Abscess
Pulmonary contusion
Arteriovenous malformations
Hereditary hemorrhagic telangiectasia
Bleeding disorder or excessive anticoagulant therapy
Mitral stenosis
Immune alveolar disease

Question 12

What are the 11 causes of blood-streaked sputum?

Answer 12

Any of the causes of gross hemoptysis
URI
Chronic bronchitis
Sarcoidosis
Bronchogenic carcinoma
TB
pulmonary infection
Pulmonary edema
Mitral stenosis
Idiopathic pulmonary hemosiderosis
Immune alveolar disease