Pulmonology Book

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Hemoptysis

Aka: Hemoptysis, 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):1253-60
    2. Corder (2003) Emerg Med Clin North Am 21:421-35

Hemoptysis (C0019079)

Definition (MSH) Expectoration or spitting of blood originating from any part of the RESPIRATORY TRACT, usually from hemorrhage in the lung parenchyma (PULMONARY ALVEOLI) and the BRONCHIAL ARTERIES.
Definition (NCI) Coughing or spitting up blood from the respiratory tract.
Definition (NCI) Coughing up blood from the respiratory tract.
Concepts Sign or Symptom (T184)
MSH D006469
ICD9 786.3, 786.30
ICD10 R04.2
SnomedCT 207068006, 207071003, 66857006, 31741006, 6686005, 267035006, 139191001, 158387000, 158384007, 161936004
English Hemoptyses, Hemoptysis, BLOODY SPUTUM, COUGHING BLOOD, HAEMOPTYSIS, HEMOPTYSIS, SPUTUM BLOODY, Expectoration of blood streaked sputum, Expectoration of bloody sputum, Expectoration of hemorrhagic sputum, Expectoration of haemorrhagic sputum, Haemoptysis NOS, Hemoptysis NOS, [D]Hemoptysis (context-dependent category), [D]Hemoptysis NOS (context-dependent category), [D]Haemoptysis, [D]Haemoptysis NOS, [D]Hemoptysis, [D]Hemoptysis NOS, Hemoptysis (finding), Hemoptysis (disorder), Blood in sputum - haemoptysis, Blood in sputum - hemoptysis, coughing up blood-streaked sputum (symptom), coughing up blood, coughing up blood (hemoptysis), coughing up blood-streaked sputum, hemoptysis, coughing up blood (symptom), Blood in sputum - haemoptysis (finding), Blood in sputum - haemoptysis [& symptom] (finding), Blood in sputum - hemoptysis (finding), [D]Haemoptysis NOS (situation), [D]Haemoptysis (situation), Coughing up Blood, Coughing blood, Sputum bloody, [D]Hemoptysis NOS (situation), [D]Hemoptysis (situation), Hemoptysis [Disease/Finding], Hemoptysis, unspecified, bloody sputum, Coughing;blood, Spitting (up);blood, coughing blood, blood coughed, blood streaked sputum, cough up blood, blood spitting up, spitting (up) blood, spit up blood, blood spit up, hemoptyses, Coughing up blood, Haemoptysis, Blood streaked sputum, Blood streaked sputum (finding), Haemoptysis - symptom, Hemoptysis - symptom, Sputum + blood-symptom, Blood in sputum - haemoptysis [& symptom], Blood in sputum - hemoptysis [& symptom], Blood in sputum - symptom, Blood in sputum-symptom, spitting up blood, haemoptysis
French HEMOPTYSIE, Toux avec expectorations sanguines, Expectoration hémoptoïque, Crachats à traces de sang, EXPECTORATION SANGLANTE, HEMORR LORS D'EFFORTS DE TOUX, Hemoptysie, Hémoptysie
Portuguese HEMOPTISE, Expectoração com laivos de sangue, Tossir sangue, Expectoração sanguinolenta, EXPECTORACAO COM SANGUE, EXPECTORACAO HEMOPTOICA, Hemoptise
Spanish HEMOPTISIS, Esputo con estrias de sangre, Sangre al toser, Esputo sanguinolento, hemoptisis (trastorno), [D]hemoptisis, SAI (categoría dependiente del contexto), [D]hemoptisis (categoría dependiente del contexto), hemoptisis (hallazgo), [D]Hemoptysis NOS, [D]Haemoptysis NOS, Hemoptysis - symptom, Blood in sputum-symptom, Blood in sputum - hemoptysis [& symptom], Haemoptysis - symptom, [D]Hemoptysis, Blood in sputum - symptom, [D]Haemoptysis, Blood in sputum - haemoptysis, Blood in sputum - haemoptysis [& symptom], Sputum + blood-symptom, Blood in sputum - hemoptysis, ESPUTO SANGUINOLENTO, TOS HEMOPTOICA, [D]hemoptisis, SAI (situación), [D]hemoptisis, SAI, [D]hemoptisis, [D]hemoptisis (situación), expectoración con sangre, expectoración de esputo con vestigios de sangre (hallazgo), expectoración de esputo con vestigios de sangre, expectoración de esputo hemorrágico (concepto no activo), expectoración de esputo hemorrágico, expectoración de esputo sanguinolento, expectoración de esputo veteado de sangre, hemoptisis, Hemoptisis
Dutch bloed ophoesten, bloedstreepjes bevattend sputum, sputum bloederig, Haemoptoe, haemoptysis, Hemoptoe, Hemoptysis
German Sputum mit Blutspuren, Husten von Blut, Sputum, blutig, BLUTHUSTEN, HAEMOPTOE, SPUTUM BLUTIG, Haemoptoe, Bluthusten, Blutspucken, Hämoptyse
Italian Escreato striato di sangue, Espettorato striato di sangue, Tosse ematica, Emottisi
Japanese 喀血, 血痕痰, 血痰, ｶｯｹﾂ, ｹｯﾀﾝ, ｹｯｺﾝﾀﾝ
Swedish Blodupphostning, HEMOPTYS/BLODHOSTA
Czech hemoptýza, Krvavé sputum, Sputum s příměsí krve, Vykašlávání krve, Hemoptýza
Finnish Veriyskä, VERIYSKA
Russian KROVOKHARKAN'E, КРОВОХАРКАНЬЕ
Norwegian HOSTER OPP BLOD/HEMOPTYSE
Danish Haemoptyse
Hungarian verkopes, Haemoptoe, Haemoptysis, Vércsíkos köpet, Vérköhögés, Véres köpet
Korean 객혈
Croatian HEMOPTIZA
Basque HEMOPTISIA
Hebrew gnixat dam
Polish Krwioplucie
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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