Hemoptysis - Revision history

Aidan: added links

2022-09-08T13:06:09Z

added links

← Older revision		Revision as of 13:06, 8 September 2022
Line 3:		Line 3:
	* Source other than the lower respiratory tract		* Source other than the lower respiratory tract
	** Upper airway (nasopharyngeal) bleeding		** Upper airway (nasopharyngeal) bleeding
	** Gastrointestinal bleeding		** [[Gastrointestinal bleeding]]
	* Tracheobronchial source		* Tracheobronchial source
	** Neoplasm		** Neoplasm
	*** Bronchogenic carcinoma		*** [[Bronchogenic carcinoma]]
	*** Endobronchial metastatic tumor		*** Endobronchial metastatic tumor
	*** Kaposi's sarcoma		*** [[Kaposi sarcoma]]
	*** Bronchial carcinoid)		*** [[Bronchial carcinoid]]
	** Bronchitis (acute or chronic)		** [[Bronchitis]] (acute or chronic)
	** Bronchiectasis		** [[Bronchiectasis]]
	** Broncholithiasis		** [[Broncholithiasis]]
	** Airway trauma		** Airway trauma
	** Foreign body		** Foreign body
	* Pulmonary parenchymal source		* Pulmonary parenchymal source
	** Infection		** Infection
	*** Lung abscess		*** [[Lung abscess]]
	*** Pneumonia		*** [[Pneumonia]]
	*** Tuberculosis		*** [[Tuberculosis]]
	*** Mycetoma ("fungus ball")		*** [[Mycetoma]] ("fungus ball")
	** Autoimmune/vasculitides		** Autoimmune/[[Vasculitis\|vasculitides]]
	*** Goodpasture's syndrome		*** [[Goodpasture syndrome]]
	*** Granulomatosis with polyangiitis		*** [[Granulomatosis with polyangiitis]]
	*** Lupus pneumonitis		*** [[Lupus]] pneumonitis
	** Idiopathic pulmonary hemosiderosis		** [[Idiopathic pulmonary hemosiderosis]]
	** Lung contusion		** Lung contusion
	* Primary vascular source		* Primary vascular source
	** Arteriovenous malformation		** [[Arteriovenous malformation]]
	** Pulmonary embolism		** [[Pulmonary embolism]]
	** Elevated pulmonary venous pressure (especially mitral stenosis)		** Elevated pulmonary venous pressure (especially [[mitral stenosis]])
	** Pulmonary artery rupture secondary to balloon-tip pulmonary artery catheter manipulation		** Pulmonary artery rupture secondary to balloon-tip pulmonary artery catheter manipulation
	* Miscellaneous and rare causes		* Miscellaneous and rare causes
	** Pulmonary endometriosis		** Pulmonary [[endometriosis]]
	** Systemic coagulopathy or use of anticoagulants or thrombolytic agents		** Systemic [[coagulopathy]] or use of [[anticoagulants]] or thrombolytic agents

	== Differential Diagnosis ==		== Differential Diagnosis ==

	* Bronchitis (20%-40%)		* [[Bronchitis]] (20%-40%)
	* Lung cancer (15-30%)		* [[Lung cancer]] (15-30%)
	* Bronchiectasis (10-20%)		* [[Bronchiectasis]] (10-20%)
	* Cryptogenic (10-20%)		* Cryptogenic (10-20%)
	* Pneumonia (5-10%)		* [[Pneumonia]] (5-10%)
	* Tuberculosis (5-15%)		* [[Tuberculosis]] (5-15%)
	* Other serious causes:		* Other serious causes:
	** Lung abscess		** [[Lung abscess]]
	** ~~Fungal~~ infection		** [[Invasive fungal infection]]
	** ANCA-associated vasculitis		** [[ANCA-associated vasculitis]]

	== Clinical Manifestations ==		== Clinical Manifestations ==

Aidan: Text replacement - "Clinical Presentation" to "Clinical Manifestations"

2020-07-16T13:55:37Z

Text replacement - "Clinical Presentation" to "Clinical Manifestations"

← Older revision		Revision as of 13:55, 16 July 2020
Line 49:		Line 49:
	** ANCA-associated vasculitis		** ANCA-associated vasculitis

	== Clinical ~~Presentation~~ ==		== Clinical Manifestations ==

	* History		* History

Maintenance script: Imported from text file

2020-07-04T01:17:37Z

Imported from text file

New page

== Etiology ==

* Source other than the lower respiratory tract
** Upper airway (nasopharyngeal) bleeding
** Gastrointestinal bleeding
* Tracheobronchial source
** Neoplasm
*** Bronchogenic carcinoma
*** Endobronchial metastatic tumor
*** Kaposi's sarcoma
*** Bronchial carcinoid)
** Bronchitis (acute or chronic)
** Bronchiectasis
** Broncholithiasis
** Airway trauma
** Foreign body
* Pulmonary parenchymal source
** Infection
*** Lung abscess
*** Pneumonia
*** Tuberculosis
*** Mycetoma ("fungus ball")
** Autoimmune/vasculitides
*** Goodpasture's syndrome
*** Granulomatosis with polyangiitis
*** Lupus pneumonitis
** Idiopathic pulmonary hemosiderosis
** Lung contusion
* Primary vascular source
** Arteriovenous malformation
** Pulmonary embolism
** Elevated pulmonary venous pressure (especially mitral stenosis)
** Pulmonary artery rupture secondary to balloon-tip pulmonary artery catheter manipulation
* Miscellaneous and rare causes
** Pulmonary endometriosis
** Systemic coagulopathy or use of anticoagulants or thrombolytic agents

== Differential Diagnosis ==

* Bronchitis (20%-40%)
* Lung cancer (15-30%)
* Bronchiectasis (10-20%)
* Cryptogenic (10-20%)
* Pneumonia (5-10%)
* Tuberculosis (5-15%)
* Other serious causes:
** Lung abscess
** Fungal infection
** ANCA-associated vasculitis

== Clinical Presentation ==

* History
** Bright red blood or clots (quantify amount)
* Signs & Symptoms

== Investigations ==

* CXR
* CT chest +/- CTPE
* CBC, lytes, creatinine
* Sputum culture
* Bronchoscopy

== Management ==

=== Acute ===

* Vitamin K, if indicated
* Tranexamic acid
* Transfer to ICU if massive hemoptysis

[[Category:Respirology]]