Haemoptysis

Question 1

What are the 4 major causes of haemoptysis? (80%) cases

Answer 1

1) Bronchitis
2) Bronchial carcinoma
3) Bronchiectasis
4) Pneumonia

Question 2

What are the features of haemoptysis caused by bronchitis?

Answer 2

Small amounts of blood with sputum.

Question 3

What are the features of haemoptysis caused by bronchial carcinoma?

Answer 3

Frank blood, history of smoking, hoarseness.

Question 4

What are the features of haemoptysis caused by pneumonia?

Answer 4

Fever, recent onset of symptoms, dyspnoea.

Question 5

What are the features of haemoptysis caused by pulmonary infarction?

Answer 5

Pleuritic chest pain, dyspnoea.

Question 6

What are the general history features of haemoptysis caused by lung abscess?

Answer 6

Fever, purulent sputum.

Question 7

What are the Hx features of haemoptysis caused by TB?

Answer 7

Previous TB / contact with TB.

HIV +ve status.

Question 8

What are the Hx features of haemoptysis caused by foreign body?

Answer 8

Hx of inhalation
Cough
Stridor

Question 9

Hx features of haeoptysis caused by Goodpasture’s?

Answer 9

Pulmonary haemorrhage
Glomerulonephritis
Ab basement membrane Ags

Question 10

Hx features of Wegener’s granulomatosis?

Answer 10

Hx of sinusitis

Saddle nose deformity

Question 11

Hx features of SLE?

Answer 11

Pulmonary haemorrhage

Multisystem involvement

Question 12

Hx features of haemoptysis due to ruptured mucosal blood vessel after vigorous coughing?

Answer 12

Hx of severe cough preceding haemoptysis.