Hemoptysis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Patients with hemoptysis may have a positive history of upper respiratory tract infection, gastrointestinal disease, exposure to patients with tuberculosis, bleeding disorders, medications (anticoagulants), and cigarette smoking. Common symptoms of hemoptysis include bloody sputum, chronic cough, shortness of breath, pleuritic chest pain, and wheezing. Less common symptoms of hemoptysis depends on the etiology include weight loss, change in cough, fatigue.
History and Symptoms
History
Patients with hemoptysis may have a positive history of:[1][2][3][4]
- Upper respiratory tract infection
- Gastrointestinal disease
- Exposure to patients with tuberculosis
- Bleeding disorders
- Medications (anticoagulants)
- Cigarette smoking
- Recent blunt chest trauma
- Seizure
- Lower extremity pain or swelling
- Exposure to alcohol or asbestos
Patients with hemoptysis must be asked about:
- Onset and duration of bleeding
- Quantity and rate of bleeding
- Sputum appearance and odor
- Spontaneous spilling out or during cough
- Recurrence of bleeding
Common Symptoms
Common symptoms of hemoptysis include:
- Bloody sputum that could have different appearances such as:[1]
- Bright red blood
- Blood clots
- Blood-streaked, purulent sputum
- Blood-tinged, white, frothy sputum
- Foul-smelling, bloody sputum
- Chronic cough with sputum production
- Shortness of breath
- Pleuritic chest pain
- Wheezing
Less Common Symptoms
Less common symptoms of hemoptysis depends on the etiology include:
- Weight loss
- Change in cough
- Fatigue
References
- ↑ 1.0 1.1 "Hemoptysis - Clinical Methods - NCBI Bookshelf".
- ↑ Lee, Myoung Kyu; Kim, Sang-Ha; Yong, Suk Joong; Shin, Kye Chul; Kim, Hyun Sik; Yu, Tae-Sun; Choi, Eun Hee; Lee, Won-Yeon (2015). "Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization". The Clinical Respiratory Journal. 9 (1): 53–64. doi:10.1111/crj.12104. ISSN 1752-6981.
- ↑ Khalil, A.; Fedida, B.; Parrot, A.; Haddad, S.; Fartoukh, M.; Carette, M.-F. (2015). "Severe hemoptysis: From diagnosis to embolization". Diagnostic and Interventional Imaging. 96 (7–8): 775–788. doi:10.1016/j.diii.2015.06.007. ISSN 2211-5684.
- ↑ Bruzzi, John F.; Rémy-Jardin, Martine; Delhaye, Damien; Teisseire, Antoine; Khalil, Chadi; Rémy, Jacques (2006). "Multi–Detector Row CT of Hemoptysis". RadioGraphics. 26 (1): 3–22. doi:10.1148/rg.261045726. ISSN 0271-5333.