haemoptysis differentials

Question 1

smoking Hx, weight loss, anorexia

Answer 1

Lung cancer

Question 2

Dyspnoea
Bibasal crackles
S3 heart sound

Answer 2

Pulmonary oedema

Question 3

Fever
night sweats
anorexia
weight loss

Answer 3

Tuberculosis

Question 4

Pleuritic chest pain

Tachycardia, tachypnoea

Answer 4

Pulmonary embolism

Question 5

acute history of purulent cough, wheeze

Answer 5

Lower respiratory tract infection

Question 6

long history of cough and daily purulent sputum production

Answer 6

Bronchiectasis

Question 7

Dyspnoea
Atrial fibrillation
Malar flush on cheeks
Mid-diastolic murmur

Answer 7

Mitral stenosis

Question 8

Often past history of tuberculosis.
Haemoptysis may be severe
Chest x-ray shows rounded opacity

Answer 8

Aspergilloma

Question 9

Upper respiratory tract: epistaxis, sinusitis, nasal crusting

Lower respiratory tract: dyspnoea, haemoptysis
Glomerulonephritis

Saddle-shape nose deformity

Answer 9

Granulomatosis with polyangiitis

Question 10

fever, nausea

Glomerulonephritis

Answer 10

Goodpasture’s syndrome