Hemoptysis

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Hemoptysis

  1. 1. HEMOPTYSIS Sanjay Kumar S 080201376
  2. 2. HEMOPTYSISDefinition Expectoration of blood from the respiratory tract, aspectrum that varies from blood-streaking of sputum tocoughing up large amounts of pure blood.Massive hemoptysis – Expectoration of >100-600 ml over a24-h period.
  3. 3. Features to differentiate between truehemoptysis and blood originating fromgastrointestinal tractTrue hemoptysis - Colour : Bright red pH : AlkalineBlood originating from GIT - Colour : Dark red pH :Acidic
  4. 4. Causes of hemoptysisBronchial diseaseCarcinoma Bronchial oedemaBronchiectasis Foreign bodyAcute bronchitisParenchymal diseaseTuberculosis TraumaSuppurative pneumonia ActinomycosisLung abscess MycetomaParasites (eg. Hadatid disease,flukes)
  5. 5. Lung vascular diseasePulmonary infarction Polyarteritis nodosaGoodpasture’s syndrome Idiopathic pulmonary haemosiderosisCardiovascular diseaseAcute left ventricular failure Aortic aneurysmMitral stenosisBlood disordersLeukaemia AnticoagulantsHaemophilia
  6. 6. HISTORY• Diff from haemetemesis & epistaxis• Amount• Previous episodes• h/o inhalation exposure• Smoking• Fever• Dyspnea• Weight loss
  7. 7. • use of illicit substances/risks for thromboembolism/ use of antiplatelet,anticoagulants/FB/intubation• Past h/o malignancy ,rheumatologic disease, Vascular disease, underlying lung disease-like bronchiectasis• h/o renal insufficiency
  8. 8. Physical examination• PICCLE-pallor ,clubbing• Vitals Incl. JVP• CVS & RS• Mucocutaneous telengiectasia

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