Hemoptysis resident survival guide

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

Management

Characterise the symptoms ❑ Coughing up blood ❑ Chest pain ❑ Tachypnea ❑ Dyspnea

Examine the patient ❑ Inspection of nasopharynx and oropharynx to exclude hemorrhagic sites from Nasopharynx or gastrointestinal track ❑ Vital signs and oxygen saturation ❑ Respiratory rate ❑ Accessory respiratory muscles use ❑ Examine head and neck

❑ UGI bleed ❑ NP bleed

Order lab ❑ Complete blood count ❑ Arterial blood gas ❑ Coagulation profile ❑ Electrolites ❑ Blood typing and cross match ❑ Liver and renal function test

Stable patient

Unstable patient

Chest radiography

Mild hemoptysis

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❑ Dysnea ❑ >600 cc of blood in 24 hours ❑ >150 cc of blood per hr Sings and symptoms of hypovolemia

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References

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