Hemoptysis Flashcards
What’s hemoptysis
Coughing up blood 🩸
The first step when you are dealing with hemoptysis
To differentiate between if it was true hemoptysis or it was hematemesis.or gum and nose 👃 bleeding
What is the relationship between the amount of blood and the underlying cause
No relationship
The hemoptysis is classified into
Massive ➡️more than 600 ml
Non massive ➡️20-200 ml
Scant/mild ➡️less than 20 ml
What is the mortality rate with the massive hemoptysis
80%
Most common cause for hemoptysis
🔸bronchitis
🔸bronchiectasis
🦠TB
🦠pneumonia
🦠aspergilloma with cavities rapture
‼️lung cancer
‼️idiopathic
🩸PE🫁
🩸hemophilia
Un common cause for hemoptysis
Goodpasture syndrome
Mitral stenosis 🫀
Av fistula 🫀
Hydatid disease 🫁
Aortic aneurysms 🫀
Acute left ventricular failure 😨 🫀
What is epistaxis
Nose 👃 bleeding 🩸
About what we should ask in the history taking of hemoptysis
Duration
Onset
Amount
Attack number
Past medical history
Associated symptoms
Bleeding from other sites
What are the drugs that associated with hemoptysis history
🔹NSAIDS
🔹anticoagulant
Hemoptysis with night sweats,fever,weight loss
TB
Hemoptysis with rusty color sputum
Pneumonia and lung infection
Catastrophic bronchial hemorrhage
Mycetoma
Hemoptysis diagnosis
🔸history
🔸physical examination
🔸CT
🔸bronchoscope 🥇🥇
🔸cbc
What disease could be diagnosed from X-ray with hemoptysis history ⁉️
TB
Malignancy
Pneumonia
Mycetoma
