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Respiratory Emergencies Stepwise management of Hemoptysis Tarek Mohsen MD, FRCS Cardiothoracic Surgeon Cairo University
Definitions ,[object Object],[object Object],[object Object],[object Object]
Questions and Answers ,[object Object],[object Object],[object Object],[object Object],[object Object]
Is it Hemoptysis? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the cause? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Source of blood ,[object Object],[object Object]
Most common cause in Egypt ,[object Object],[object Object],[object Object]
Steps towards diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Clues in Hemoptysis:  Physical History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Clues in Hemoptysis: Physical History II ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Clues in Hemoptysis: Laboratory Tests ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Clues in Hemoptysis: Chest Radiograph ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cavitary lesions
Hilar adenopathy and mass
Nodule or granuloma
Lobar or segmental infiltrates
Alveolar infiltrate
Bronchiactesis
Hydatid cyst
Role of bronchoscopy ,[object Object],[object Object],[object Object]
Initial management steps ,[object Object],[object Object],[object Object]
Resuscitation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Airway protection ,[object Object],[object Object]
Localization of the site ,[object Object],[object Object]
Definitive and specific treatments. ,[object Object],[object Object],[object Object],[object Object]
Bronchoscopic management ,[object Object],[object Object],[object Object]
Bronchoscopic intervention ,[object Object]
[object Object],[object Object],[object Object],[object Object],Mechanical debulking twist & push
Bronchoscopic intervention
Bronchoscopic intervention
Bronchial artery embolisation. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgery ,[object Object],[object Object],[object Object]
Disease-specific approaches. ,[object Object],[object Object],[object Object],[object Object],[object Object]
In practice tailored management for hemoptysis is needed
Case I ,[object Object],[object Object],[object Object]
Investigation ,[object Object],[object Object],[object Object]
 
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Next ,[object Object],[object Object],[object Object],[object Object],[object Object]
Final management ,[object Object],[object Object],[object Object]
Bronchial embolization
 
Case II ,[object Object],[object Object],[object Object]
Investigation ,[object Object],[object Object],[object Object]
 
Problem List ,[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definitive management ,[object Object],[object Object],[object Object]
Options ,[object Object],[object Object],[object Object]
Rigid bronchoscopy and tamponade ,[object Object]
[object Object]
Case III ,[object Object],[object Object],[object Object]
Multi slice Pulmonary angio
Bronchoscopy ,[object Object],[object Object],[object Object],[object Object]
EBUS
Thank You

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Respiratory emergencies