Haemoptysis

Question 1

What can cause haemoptysis?

Answer 1

Lung cancer 
Pulmonary oedema 
TB, LRTI
PE
Bronchiectasis 
Aspergilloma 
Granulomatosis with polyangiitis 
Goodpasture's
Mitral stenosis

Question 2

What are the features of lung cancer with haemoptysis?

Answer 2

History of smoking

Symptoms of malignancy: weight loss, anorexia

Question 3

What are the features of pulmonary oedema with haemoptysis?

Answer 3

Dyspnoea, orthopnoea
Bibasal crackles
S3

Question 4

What are the features of TB with haemoptysis?

Answer 4

Fever, night sweats, anorexia, weight loss

Risk factors

Question 5

What are the features of PE with haemoptysis?

Answer 5

Pleuritic chest pain

Tachycardia, tachypnoea

Question 6

What are the features of LRTI with haemoptysis?

Answer 6

Acute history purulent cough

Question 7

What are the features of bronchiectasis with haemoptysis?

Answer 7

Long history purulent cough

Question 8

What are the features of aspergilloma with haemoptysis?

Answer 8

PMH TB

CXR showing rounded opacity

Question 9

What are the features of granulomatosis with polyangiitis with haemoptysis?

Answer 9

Sinusitis, epistaxis
Saddle shaped nose
Glomerulonephritis
ANCA +

Question 10

What are the features of Goodpasture’s with haemoptysis?

Answer 10

Glomerulonephritis

Systemically unwell- nausea, fever

Question 11

What are the features of mitral stenosis causing haemoptysis?

Answer 11

Dyspnoea
AF
Malar flush
Mid-diastolic murmur