Hemoptysis Flashcards

1
Q

Parasites causing hemoptysis

A

P.westermani , hydatid cyst, e.histolytics

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2
Q

Mcc hemoptysis in children
Female
India
World

A

Fb
Bronchial adenoma
Tb
Chronic bronchitis

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3
Q

What is pseudohemoptysis

A

Other than lrti

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4
Q

Causes of hemoptysis

A
Infections
Cvs- lvh/ embolism
Cancer
Vasculitis
Vasculitis
Trauma
Coacine lung
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5
Q
Hemoptyis 
History
Sputum colour
Ph
Mixed with
A

Lung disease
Frothy/bright red
Alkaline
Mixed with m and n

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6
Q

Causes of hemoptysus in child

A
Infective 
Fb
Cong heart disease
Cf
Ectasis
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7
Q

Subjective symptoms of hemoptysis

A

Heaviness , bubbling, vague chest pain

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8
Q
Mechanism
Fb
Pe
Immigration
Hematuria
Nasal discharge
A

Fb- mech trauma
Pe- Infarction
Immigration- paragonimiasis
Hematuria- Vasculitis/ coagulation
Nasal discharge- wegeners , htn , coagulation
Wheeze- abpa / chronic bronchitis/ bronchiectasis

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9
Q

Non massive

A

Less than 100ml

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10
Q

Impaired oxygenation

A

Around 400ml

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11
Q

Blood with gritty white material

A

Broncholithiasis

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12
Q

Things to see on skin

A

Rash- ctd
Mucosa- bechets
Dvt- legs
Edema , hyperpigmentation , eczema , varicose , ulceration- post thrombotic syndrome

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13
Q

Nail and nail bed

A

Clubbing
Solinter hmg- mpan
Yellow nail syn- yellow nail+ effusion+lymphedema(bronchiectasis)
Chronic sinusitis and cough- hemoptysis

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14
Q

Oral cavity and np

A

Gums/oral/pharynx- bleed
Mucosa- biting
Wegeners- perforation/crusting/Mucosa ulcers

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15
Q

Other areas

A

Eye
Lb
BP

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16
Q
Auscultation
Pleural rub
Wheeze
Crackles
Localized wheeze
A

Embolism/Infarction
Bronchitis/ ectasis
Hemorrhage
Focal endobronchial leison

17
Q

What do u see in cbc

A
Tlc- infection
Hb-dah
Platelets
Coagulation profile
Anca
18
Q

Urine

A

Rbc- Vasculitis

19
Q

Sputum

A

Afb
Malignancy
Westermani
Hydatid

20
Q

Xray

A

Cavities
Atelectasis- fb/ca/adeno ca
Bronchiectasis- tram line/ ring like shadows/Atelectasis
Mitral stenosis- la enlargement, kerley b lines

21
Q

Other

A

Angio

Bronch

22
Q

What is life threatening

A

Abnormal gas exchange
Airway obstruction
Hemodynamic instability

23
Q

Causes

A
Infective
Neoplastic 
Pulm- itis, ectasis , hmg , lam , sarcoid
Cvs
Vasculitis
Trauma
Iatrogenic 
Hemat
24
Q

Cause of hemoptysis in lvf

A

Inc pulm vasculature pressure- rupture of pulm veins or capillaries

25
Q

Boundary for urt and lrt

A

Lower border of cricoid cartilage

26
Q

Acid hematin test is positive in

A

Hematemesis- broken rbc

27
Q

Massive hemoptysis

A

Per hour 100ml
600ml/day
500ml/day for 3 days

28
Q
Classical
Spurious
Endemic
Pseudohemoptysis
Frank
Suppurative
A
From lrt
Urt
Fluke
Serratia- prodigosin
Not mixed with sputum
With pus
29
Q

Mcc hemoptysis

A

Tb
Ms
Ca

30
Q

What is recurrent hemoptysis

A

More than one episode per year

31
Q

Causes of hemoptysis in active tb

A

Tb vasculitus
Att- rif. Pzide
Rupture of rassmussen aneurysm

32
Q

Causes of hemoptysis in old tb

A
Calcified bv ruptures
Open negative syndrome(inh cavity)
Fungal ball
Scar carcinoma
Post tb bronchiectasis
33
Q

Things to avoid in hemoptysis

A
Prolonged History taking
Chest percussion 
Neb
Bd
Sputum induction