Hemoptysis: Difference between revisions

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{{SK}} Spitting up blood; bloody sputum; coughing up blood; blood in sputum; haemoptysis;
{{SK}} Spitting up blood; bloody sputum; coughing up blood; blood in sputum; haemoptysis;
==Causes==
===Common Causes===
Common causes of hemoptysis include:
* [[Bronchitis]]
* [[Pneumonia]]
* [[Lung cancer|Lung neoplasm]] (in smokers, when hemoptysis is persistent)
* [[Aspergilloma]]
* [[Tuberculosis]]
* [[Bronchiectasis]]
* [[Coccidioidomycosis]]
* [[Pulmonary embolism]]
* [[Bubonic plague|Pneumonic plague]]
* [[Idiopathic]] - in 20% cases
===Causes in Alphabetical Order===
* [[Actinomycosis]]
* [[Adult Respiratory Distress Syndrome]] ([[ARDS]])
* [[Amyloidosis]]
* [[Aortic Aneurysm]]
* [[Arteriovenous malformation]] ([[AVM]])
* [[Aspergilloma]]
* [[Aspiration]] ([[foreign body]])
* [[Behcet's Syndrome]]
* [[Biopsy]]
* [[Bleeding gums]]
* Bronchial [[adenoma]]
* [[Bronchitis]]
* [[Bronchiectasis]]
* [[Bronchogenic carcinoma]]
* [[Broncholithiasis]]
* [[Bronchoscopy]]
* [[Coagulopathy]]
* [[Cocaine]] use
* [[Coccidioidomycosis]]
* [[Congestive Heart Failure]]
* [[Cystic Fibrosis]]
* [[Cytotoxic drug]] use
* [[Echinococcal cyst]]
* [[Endometriosis]]
* [[Esophageal tumors]]
* [[Fistula]] (between vasculature and airway)
* [[Goodpasture's Syndrome]]
* [[Heart failure]]
* [[Hemorrhagic diathesis]]
* [[Hereditary hemorrhagic telangiectasia]] (HHT or [[Rendu-Osler-Weber syndrome]])
* [[Henoch-Schonlein Purpura]]
* [[Histiocytosis X]]
* [[Idiopathic pulmonary hemosiderosis]]
* Intrathoracic [[endometriosis]]
* [[Laryngitis]]
* [[Laryngoscopy]]
* [[Lung abscess]]
* Lung contusion
* Malignant [[lymphoma]]
* [[Mediastinal tumors]]
* Mediastinoscopy
* [[Metastases]]
* [[Mitral Stenosis]]
* [[Nosebleed]]
* [[Oral Candidiasis]]
* [[Osler-Weber-Rendu Syndrome]]
* [[Pharyngitis]]
* [[Pneumonia]]
* [[Polyarteritis Nodosa]]
* [[Primary pulmonary hypertension]]
* Pulmonary [[arteriovenous fistula]]
* [[Pulmonary congestion]]
* [[Pulmonary Embolism]]
* [[Pulmonary fibrosis]]
* Pulmonary [[hemangioma]]
* Pulmonary [[hemosiderosis]]
* [[Pulmonary Infarction]]
* Ruptured [[aortic aneurysm]]
* Ruptured [[bronchi]]
* [[Sarcoidosis]]
* Septic [[pulmonary emboli]]
* [[Shrapnel]]
* [[Spirometry]]
* [[Systemic Lupus Erythematosus]]
* [[Tonsillectomy]]
* [[Tracheitis]]
* [[Trauma]]
* [[Tuberculosis]]
* Violent [[coughing]]
* [[Warfarin]] - excess [[anticoagulation]]
* [[Wegener's Granulomatosis]] <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>


==Natural Hisotry, Compilcations and Prognosis==
==Natural Hisotry, Compilcations and Prognosis==

Revision as of 01:44, 25 September 2012

Hemoptysis
ICD-10 R04.2
ICD-9 786.3
DiseasesDB 5578
MedlinePlus 003073

Hemoptysis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Spitting up blood; bloody sputum; coughing up blood; blood in sputum; haemoptysis;

Natural Hisotry, Compilcations and Prognosis

Although uncommon, massive hemoptysis may be fatal.

Diagnostic

Laboratory Findings

Electrolyte and Biomarker Studies

Chest X Ray

CT

  • Chest CT scan to show focal bleeding

Other Diagnostic Studies

Treatment

  • Treat underling etiologies for minor hemoptysis
  • Special attention to airway, breathing and circulation
  • Administration of supplemental O2
  • Stablize hemodynamics
  • Cough suppression
  • Intubation

Acute Pharmacotherapies

Surgery and Device Based Therapy

  • Bronchoscopic balloon tamponade
  • Arteriography and embolization
  • Emergent thoracic surgery

References

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