Hemoptysis

bronchitis

acute

recent onset

chronic

blood-streaked

recurrent

frequent episodes

smoking history

fever

TB

frank blood

recurrent

Family history/ contact history

fever

night sweats

bronchiectasis

blood-streaked

frank blood (severe)

recurrent & chronic

frequent episodes

lung abscess

pleuritic chest pain

fever

pneumonia

pneumococcal pneumonia

rusty brown

due to hemoglobin degradation

klebsiella

currant jelly

necrotising pneumonia

currant jelly

recent onset

pleuritic chest pain

bronchogenic carcinoma

blood-streaked

slight, persistent bleeding

gradual pleuritic chest pain

smoking history

hoarseness of voice

recurrent laryngeal n involvement

often of recent onset in adults >45 yrs old

hemoptysis normally in non-small cell lung ca

hemoptysis rare in lung mets

bronchial carcinoma

pulmonary embolism

frank blood

may be at first red, then progressively darkens within 48hr

recurrent

large volume, massive hemoptysis

sudden pleuritic chest pain

palpitations

due to pulmonary infarction

preceding hemoptysis due to atrial fibrillations causing pulmonary embolism

other sites of thromboembolism

eg. swollen leg in DVT

IVDA history

septic embolism

recent previous operation/ hospitalisation (prolonged bedrest)

pulmonary edema

pink frothy

blood is mixed with air bubbles

left ventricular failure

mitral stenosis

recurrent

on exertion

sudden elevation in L atrial pressure

polyarteritis nodosa

Goodpasture's syndrome

large volume, massive hemoptysis

hematuria

Wegener granulomatosis

hematuria

purulent rhinorrhea

nasal/ sinus pain

Eisenmenger syndrome

trauma

large volume, massive hemoptysis

amyloidosis

coagulopathy

not associated with

epistaxis

nausea/ vomiting

coffeeground/ brown/ magenta appearance

food particles in blood

often associated with

cough

sputum