Hemoptysis

Question 1

Parasites causing hemoptysis

Answer 1

P.westermani , hydatid cyst, e.histolytics

Question 2

Mcc hemoptysis in children
Female
India
World

Answer 2

Fb
Bronchial adenoma
Tb
Chronic bronchitis

Question 3

What is pseudohemoptysis

Answer 3

Other than lrti

Question 4

Causes of hemoptysis

Answer 4

Infections
Cvs- lvh/ embolism
Cancer
Vasculitis
Vasculitis
Trauma
Coacine lung

Question 5

Hemoptyis 
History
Sputum colour
Ph
Mixed with

Answer 5

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

Question 6

Causes of hemoptysus in child

Answer 6

Infective 
Fb
Cong heart disease
Cf
Ectasis

Question 7

Subjective symptoms of hemoptysis

Answer 7

Heaviness , bubbling, vague chest pain

Question 8

Mechanism
Fb
Pe
Immigration
Hematuria
Nasal discharge

Answer 8

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

Question 9

Non massive

Answer 9

Less than 100ml

Question 10

Impaired oxygenation

Answer 10

Around 400ml

Question 11

Blood with gritty white material

Answer 11

Broncholithiasis

Question 12

Things to see on skin

Answer 12

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

Question 13

Nail and nail bed

Answer 13

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

Question 14

Oral cavity and np

Answer 14

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

Question 15

Other areas

Answer 15

Eye
Lb
BP

Question 16

Auscultation
Pleural rub
Wheeze
Crackles
Localized wheeze

Answer 16

Embolism/Infarction
Bronchitis/ ectasis
Hemorrhage
Focal endobronchial leison

Question 17

What do u see in cbc

Answer 17

Tlc- infection
Hb-dah
Platelets
Coagulation profile
Anca

Question 18

Urine

Answer 18

Rbc- Vasculitis

Question 19

Sputum

Answer 19

Afb
Malignancy
Westermani
Hydatid

Question 20

Xray

Answer 20

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

Question 21

Other

Answer 21

Angio

Bronch

Question 22

What is life threatening

Answer 22

Abnormal gas exchange
Airway obstruction
Hemodynamic instability

Question 23

Causes

Answer 23

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

Question 24

Cause of hemoptysis in lvf

Answer 24

Inc pulm vasculature pressure- rupture of pulm veins or capillaries

Question 25

Boundary for urt and lrt

Answer 25

Lower border of cricoid cartilage

Question 26

Acid hematin test is positive in

Answer 26

Hematemesis- broken rbc

Question 27

Massive hemoptysis

Answer 27

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

Question 28

``` Classical Spurious Endemic Pseudohemoptysis Frank Suppurative ```

Answer 28

``` From lrt Urt Fluke Serratia- prodigosin Not mixed with sputum With pus ```

Question 29

Mcc hemoptysis

Answer 29

Tb Ms Ca

Question 30

What is recurrent hemoptysis

Answer 30

More than one episode per year

Question 31

Causes of hemoptysis in active tb

Answer 31

Tb vasculitus Att- rif. Pzide Rupture of rassmussen aneurysm

Question 32

Causes of hemoptysis in old tb

Answer 32

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

Question 33

Things to avoid in hemoptysis

Answer 33

``` Prolonged History taking Chest percussion Neb Bd Sputum induction ```