Hemoptysis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with hemoptysis may have a positive history of [[upper respiratory tract infection]], [[Digestive disease|gastrointestinal disease]], exposure to patients with [[tuberculosis]], [[Coagulopathy|bleeding disorders]], [[Medication|medications]] ([[Anticoagulant|anticoagulants]]), and [[Smoking|cigarette smoking]]. Common symptoms of hemoptysis include bloody [[sputum]], chronic [[cough]], [[Dyspnea|shortness of breath]], [[Pleurisy|pleuritic chest pain]], and [[Wheeze|wheezing]]. Less common symptoms of hemoptysis depends on the etiology include [[weight loss]], change in [[cough]], [[fatigue]]. | |||
==History and Symptoms== | ==History and Symptoms== | ||
===History=== | ===History=== | ||
Patients with hemoptysis may have a positive history of:<ref name="urlHemoptysis - Clinical Methods - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK360 |title=Hemoptysis - Clinical Methods - NCBI Bookshelf |format= |work= |accessdate=}}</ref> | Patients with hemoptysis may have a positive history of:<ref name="urlHemoptysis - Clinical Methods - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK360 |title=Hemoptysis - Clinical Methods - NCBI Bookshelf |format= |work= |accessdate=}}</ref><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> | ||
*Upper respiratory tract infection | *[[Upper respiratory tract infection]] | ||
*Gastrointestinal disease | *[[Digestive disease|Gastrointestinal disease]] | ||
* | *Exposure to patients with [[tuberculosis]] | ||
*Bleeding disorders | *[[Coagulopathy|Bleeding disorders]] | ||
*Cigarette smoking | *[[Medications]] ([[Anticoagulant|anticoagulants]]) | ||
*Exposure to | *[[Smoking|Cigarette smoking]] | ||
*Recent blunt [[chest trauma]] | |||
* [[Seizure]] | |||
* [[Human leg|Lower extremity]] pain or [[Edema|swelling]] | |||
* Exposure to [[alcohol]] or [[asbestos]] | |||
Patients with hemoptysis must be asked about: | Patients with hemoptysis must be asked about: | ||
* Onset and duration of bleeding | * Onset and duration of [[bleeding]] | ||
* Quantity and rate of bleeding | * Quantity and rate of [[bleeding]] | ||
* Sputum appearance | * [[Sputum]] appearance and [[odor]] | ||
*Spontaneous spilling out or during cough | *Spontaneous spilling out or during cough | ||
*Recurrence of bleeding | *Recurrence of [[bleeding]] | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of hemoptysis include: | Common symptoms of hemoptysis include: | ||
*Bloody sputum that could have different appearances such as:<ref name="urlHemoptysis - Clinical Methods - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK360 |title=Hemoptysis - Clinical Methods - NCBI Bookshelf |format= |work= |accessdate=}}</ref> | *Bloody [[sputum]] that could have different appearances such as:<ref name="urlHemoptysis - Clinical Methods - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK360 |title=Hemoptysis - Clinical Methods - NCBI Bookshelf |format= |work= |accessdate=}}</ref> | ||
**Bright red blood | **Bright red [[blood]] | ||
**Blood clots | **[[Thrombus|Blood clots]] | ||
**Blood-streaked, purulent sputum | **Blood-streaked, purulent [[sputum]] | ||
**Blood-tinged, white, frothy | **Blood-tinged, white, frothy [[sputum]] | ||
**Foul-smelling, bloody sputum | **Foul-smelling, bloody [[sputum]] | ||
* Chronic cough with sputum production | * [[Acute viral nasopharyngitis (common cold)|Chronic cough]] with [[sputum]] production | ||
* Shortness of breath | * [[Dyspnea|Shortness of breath]] | ||
* Pleuritic chest pain | * [[Pleurisy|Pleuritic chest pain]] | ||
* Wheezing | * [[Wheeze|Wheezing]] | ||
=== Less Common Symptoms === | === Less Common Symptoms === | ||
Less common symptoms of hemoptysis depends on the etiology include: | Less common symptoms of hemoptysis depends on the etiology include: | ||
* Weight loss | * [[Weight loss]] | ||
* Change in cough | * Change in [[cough]] | ||
* Fatigue | * [[Fatigue]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Emergency medicine]] | |||
Latest revision as of 22:03, 29 July 2020
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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
Patients with hemoptysis may have a positive history of upper respiratory tract infection, gastrointestinal disease, exposure to patients with tuberculosis, bleeding disorders, medications (anticoagulants), and cigarette smoking. Common symptoms of hemoptysis include bloody sputum, chronic cough, shortness of breath, pleuritic chest pain, and wheezing. Less common symptoms of hemoptysis depends on the etiology include weight loss, change in cough, fatigue.
History and Symptoms
History
Patients with hemoptysis may have a positive history of:[1][2][3][4]
- Upper respiratory tract infection
- Gastrointestinal disease
- Exposure to patients with tuberculosis
- Bleeding disorders
- Medications (anticoagulants)
- Cigarette smoking
- Recent blunt chest trauma
- Seizure
- Lower extremity pain or swelling
- Exposure to alcohol or asbestos
Patients with hemoptysis must be asked about:
- Onset and duration of bleeding
- Quantity and rate of bleeding
- Sputum appearance and odor
- Spontaneous spilling out or during cough
- Recurrence of bleeding
Common Symptoms
Common symptoms of hemoptysis include:
- Bloody sputum that could have different appearances such as:[1]
- Bright red blood
- Blood clots
- Blood-streaked, purulent sputum
- Blood-tinged, white, frothy sputum
- Foul-smelling, bloody sputum
- Chronic cough with sputum production
- Shortness of breath
- Pleuritic chest pain
- Wheezing
Less Common Symptoms
Less common symptoms of hemoptysis depends on the etiology include:
- Weight loss
- Change in cough
- Fatigue
References
- ↑ 1.0 1.1 "Hemoptysis - Clinical Methods - NCBI Bookshelf".
- ↑ 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.
- ↑ 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.
- ↑ 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.