Causes of Haemoptysis

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Causes of Haemoptysis

  1. 1. Hemoptysis Amarendra B. Singh 090201263 23rd Feb 2013
  2. 2. Hemoptysis  Hemoptysis is the expectoration of blood from the respiratory tract(from alveoli to the glottis).  Epistaxis & Hematemesis Classification  Mild  Massive
  3. 3. Mild If there is a small amount of blood, or sputum streaked with blood, the spitting is considered mild hemoptysis. Massive Hemoptysis is considered massive, or major, when there is so much blood that it interrupts breathing (generally more than about 200-240 mL, or about 1 cup, in 24 hours). Massive hemoptysis is a medical emergency.
  4. 4. VASCULAR ORIGIN OF HEMOPTYSIS  Blood traversing the lungs can arrive from  Pulmonary arteries, or  Bronchial arteries
  5. 5. Causes  Infections  Tumour  Vascular disease  Cardiac cause  Immunological disorders  Trauma  Chronic airway inflammation  Systemic bleeding disorders  Iatrogenic
  6. 6. Infections • Tuberculosis • Lung abscess • Fungal infections • Parasites • Bacterial/ viral infections Tumour • Benign • Malignant Vascular • Pulmonary thromboembolism • Rasmussen’s aneurysm • A-V malformation
  7. 7. Cardiac • Mitral stenosis • Congenital heart disease • Tricuspid endocarditis Vasculitis • Wegener’s granulomatosis • Goodpasture’s syndrome Trauma • Inhaled foriegn body • Chest trauma
  8. 8. Chronic airway inflammation • Bronchiectasis • Cystic fibrosis Haematological • Blood dyscrasias • anticoagulants Iatrogenic • Bronchial biopsy • Transthoracic lung biopsy • Endotracheal tube intubation • Tracheostomy

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