Pulmonology Book

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HemoptysisAka: Bloody Sputum

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  1. See Also
    1. Hemoptysis Causes
  2. Symptoms and signs
    1. Frothy Sputum with bright red blood, and alkaline pH
  3. Evaluation: Non-massive hemoptysis
    1. See labs below
    2. Step 1: Consider non-lower respiratory cause
      1. Upper respiratory source (e.g. Sinusitis)
      2. Upper Gastrointestinal Bleeding
        1. Coffee grounds with acidic pH
    3. Step 2: Imaging
      1. Start with Chest XRay
      2. High resolution chest CT indicated for abnormal XRay
    4. Step 3: Bronchoscopy Indications
      1. Non-diagnostic CT
      2. Recurrent hemoptysis
  4. Evaluation: Massive Hemoptysis
    1. See ABC Management
    2. Urgent pulmonology consultation
    3. Consider cardiothoracic surgery consultation
  5. Labs
    1. Complete Blood Count with platelets and differential
    2. ProTime (PT)
    3. Partial Thromboplastin Time (aPTT)
    4. D-Dimer
    5. Sputum Cytology
    6. Sputum Gram Stain and culture (including AFB)
    7. Tuberculin Skin Testing (PPD)
    8. HIV Test
    9. Erythrocyte Sedimentation Rate
    10. Arterial Blood Gas
  6. Differential Diagnosis
    1. See Hemoptysis Causes
  7. References
    1. Bidwell (2005) Am Fam Physician 72(7):1253
    2. Corder (2003) Emerg Med Clin North Am 21:421

Hemoptysis (C0019079)

Definition (MSH)Bronchial hemorrhage manifested with spitting of blood.
Definition (NCI)Coughing up blood from the respiratory tract.
ConceptsSign or Symptom (T184)
ICD9786.3
BasqueHEMOPTISIA
DanishHaemoptyse
DutchHaemoptoe
EnglishBlood in sputum - haemoptysis, Blood in sputum - hemoptysis, Blood in sputum - symptom, Blood in sputum-symptom, Blood streaked sputum, BLOODY SPUTUM, COUGHING BLOOD, Coughing up blood, Expectoration of blood streaked sputum, Expectoration of bloody sputum, Expectoration of hemorrhagic sputum, HAEMOPTYSIS, Haemoptysis - symptom, Hemoptyses, Hemoptysis, Hemoptysis - symptom, Sputum + blood-symptom, SPUTUM BLOODY
FinnishVERIYSKA
FrenchHemoptysie
GermanHaemoptoe
Hebrewgnixat dam
Hungarianverkopes
ItalianEmottisi
NorwegianHOSTER OPP BLOD/HEMOPTYSE
PortugueseHemoptise
Spanishexpectoracion con sangre, expectoracion de esputo con vestigios de sangre, expectoracion de esputo hemorragico, expectoracion de esputo sanguinolento, expectoracion de esputo veteado de sangre, hemoptisis
SwedishHEMOPTYS/BLODHOSTA
Parent ConceptsLung (C0024109), Chest Findings (C0150872), Hemorrhage (C0019080), Respiratory System Disorders, General, Functional and NEC (C0549576), PULMONARY DISORDERS: GENERAL (C0549657), [D]Respiratory system and chest symptoms NOS (C0476271), Symptoms and Complaints Component (C0497525), respiratory (C0521346), Lung diseases (C0024115), Signs and Symptoms, Respiratory (C0037090), Symptoms (C1457887), pulmonary complications (C0281169), Hemoptysis (C0019079), Expectoration of abnormal sputum (C0232516), Respiratory tract hemorrhage (C0235560), Duplicate concept (C1274013), Ambiguous concept (C1274012)
SourcesAIR, COSTAR, CSP, CST, DXP, ICD9CM, ICPC, ICPCBAQ, ICPCDAN, ICPCDUT, ICPCFIN, ICPCFRE, ICPCGER, ICPCHEB, ICPCHUN, ICPCITA, ICPCNOR, ICPCPOR, ICPCSPA, ICPCSWE, MSH, MTH, NCI, NDFRT, OMIM, PDQ, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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