Hemoptysis physical examination: Difference between revisions

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{{Hemoptysis}}
{{Hemoptysis}}
{{CMG}}; {{AE}} {{SSH}}
==Overview==
Physical examination of patients with hemoptysis might be normal. However, patients might show different findings depend on underlying causes. Patients with hemoptysis usually appear anxious and depend on the severity of [[bleeding]] they might be critically ill. Patients with hemoptysis usually have abnormal [[vital signs]] indicating [[dehydration]], other signs of [[mucosal bleeding]], purulent bloody [[sputum]], and abnormal [[Respiratory examination|lung exam]] indicating underlying [[Lung|pulmonary]] causes.
==Physical Examination==
*Physical examination of patients with hemoptysis might be normal. However, patients might show different findings depend on underlying causes.<ref name="LeeKim2015">{{cite journal|last1=Lee|first1=Myoung Kyu|last2=Kim|first2=Sang-Ha|last3=Yong|first3=Suk Joong|last4=Shin|first4=Kye Chul|last5=Kim|first5=Hyun Sik|last6=Yu|first6=Tae-Sun|last7=Choi|first7=Eun Hee|last8=Lee|first8=Won-Yeon|title=Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization|journal=The Clinical Respiratory Journal|volume=9|issue=1|year=2015|pages=53–64|issn=17526981|doi=10.1111/crj.12104}}</ref><ref name="KhalilFedida2015">{{cite journal|last1=Khalil|first1=A.|last2=Fedida|first2=B.|last3=Parrot|first3=A.|last4=Haddad|first4=S.|last5=Fartoukh|first5=M.|last6=Carette|first6=M.-F.|title=Severe hemoptysis: From diagnosis to embolization|journal=Diagnostic and Interventional Imaging|volume=96|issue=7-8|year=2015|pages=775–788|issn=22115684|doi=10.1016/j.diii.2015.06.007}}</ref><ref name="BruzziRémy-Jardin2006">{{cite journal|last1=Bruzzi|first1=John F.|last2=Rémy-Jardin|first2=Martine|last3=Delhaye|first3=Damien|last4=Teisseire|first4=Antoine|last5=Khalil|first5=Chadi|last6=Rémy|first6=Jacques|title=Multi–Detector Row CT of Hemoptysis|journal=RadioGraphics|volume=26|issue=1|year=2006|pages=3–22|issn=0271-5333|doi=10.1148/rg.261045726}}</ref>
*Patients with hemoptysis usually appear anxious and depend on the severity of [[bleeding]] they might be critically ill.
*Patients with hemoptysis usually have abnormal [[vital signs]] indicating [[dehydration]], other signs of [[mucosal bleeding]], purulent bloody [[sputum]], and abnormal [[Respiratory examination|lung exam]] indicating underlying [[Lung|pulmonary]] causes.
===Appearance of the Patient===
*Patients with hemoptysis usually appear anxious.
*Patients with massive hemoptysis usually appear critically ill.
===Vital Signs===
*Low-grade [[fever]]
*[[Tachycardia]] with regular [[pulse]]
*[[Tachypnea]]
*[[Hypotension|Low blood pressure]] with normal [[pulse pressure]]
===Skin===
*[[Bruise|Bruises]]
*[[Telangiectasia]]
*Palpable [[purpura]]
*[[Rash]]
===HEENT===
* Purulent bloody [[sputum]]
===Neck===
*[[Jugular venous distension]]
===Lungs===
*Decreased [[Respiratory examination|chest expansion]]
*Coarse [[crackles]] upon [[auscultation]] of the [[lung]] bases unilaterally or bilaterally
*Decreased [[breath sounds]]
*[[Wheezing]] may be present
===Heart===
*[[Heart murmur|Systolic murmur]] / [[diastolic murmur]]
===Abdomen===
*[[Abdominal distention]]
*[[Abdominal tenderness]] 
===Back===
* [[Human back|Back]] examination of patients with hemoptysis is usually normal.
===Genitourinary===
* [[Genitourinary system|Genitourinary]] examination of patients with hemoptysis is usually normal.
===Neuromuscular===
* Neuromuscular examination of patients with hemoptysis is usually normal.
===Extremities===
* [[Pedal edema|Peripheral edema]]
* [[Clubbing]] of the digits
* [[Joint]] effusions
* Periarticular warmth


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Pulmonology]]
[[Category:Medicine]]
[[Category:Needs content]]
[[Category:Gastroenterology]]
[[Category:Primary care]]
[[Category:Up-To-Date]]
 
[[Category:Emergency medicine]]
{{WH}}
{{WS}}

Latest revision as of 22:03, 29 July 2020

Hemoptysis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Physical examination of patients with hemoptysis might be normal. However, patients might show different findings depend on underlying causes. Patients with hemoptysis usually appear anxious and depend on the severity of bleeding they might be critically ill. Patients with hemoptysis usually have abnormal vital signs indicating dehydration, other signs of mucosal bleeding, purulent bloody sputum, and abnormal lung exam indicating underlying pulmonary causes.

Physical Examination

  • Physical examination of patients with hemoptysis might be normal. However, patients might show different findings depend on underlying causes.[1][2][3]
  • Patients with hemoptysis usually appear anxious and depend on the severity of bleeding they might be critically ill.
  • Patients with hemoptysis usually have abnormal vital signs indicating dehydration, other signs of mucosal bleeding, purulent bloody sputum, and abnormal lung exam indicating underlying pulmonary causes.

Appearance of the Patient

  • Patients with hemoptysis usually appear anxious.
  • Patients with massive hemoptysis usually appear critically ill.

Vital Signs

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

  • Back examination of patients with hemoptysis is usually normal.

Genitourinary

  • Genitourinary examination of patients with hemoptysis is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with hemoptysis is usually normal.

Extremities

References

  1. ↑ Lee, Myoung Kyu; Kim, Sang-Ha; Yong, Suk Joong; Shin, Kye Chul; Kim, Hyun Sik; Yu, Tae-Sun; Choi, Eun Hee; Lee, Won-Yeon (2015). "Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization". The Clinical Respiratory Journal. 9 (1): 53–64. doi:10.1111/crj.12104. ISSN 1752-6981.
  2. ↑ Khalil, A.; Fedida, B.; Parrot, A.; Haddad, S.; Fartoukh, M.; Carette, M.-F. (2015). "Severe hemoptysis: From diagnosis to embolization". Diagnostic and Interventional Imaging. 96 (7–8): 775–788. doi:10.1016/j.diii.2015.06.007. ISSN 2211-5684.
  3. ↑ Bruzzi, John F.; Rémy-Jardin, Martine; Delhaye, Damien; Teisseire, Antoine; Khalil, Chadi; Rémy, Jacques (2006). "Multi–Detector Row CT of Hemoptysis". RadioGraphics. 26 (1): 3–22. doi:10.1148/rg.261045726. ISSN 0271-5333.
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