Hemoptysis resident survival guide: Difference between revisions
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{{familytree | | | F01 | | | | | | | | |!| | F01= Chest radiography}} | {{familytree | | | F01 | | | | | | | | |!| | F01= Chest radiography}} | ||
{{familytree | |,|-|^|-|.| | | | | | | |!| | | }} | {{familytree | |,|-|^|-|.| | | | | | | |!| | | }} | ||
{{familytree | G01 | | G02 | | | | | | G03 | G01= Mild hemoptysis }} | {{familytree | G01 | | G02 | | | | | | G03 | G01= Mild hemoptysis | G02= Moderate hemoptysis | G03 Massive hemotysis }} | ||
{{familytree | |!| | | |!| | | | | | | |!| }} | {{familytree | |!| | | |!| | | | | | | |!| }} | ||
{{familytree | G04 | | G05 | | | | | | G06 | G04= | G05= | G06= ❑ Dysnea <br> ❑ >600 cc of blood in 24 hours <br> ❑ >150 cc of blood per hr <br> Sings and symptoms of hypovolemia }} | {{familytree | G04 | | G05 | | | | | | G06 | G04= | G05= | G06= ❑ Dysnea <br> ❑ >600 cc of blood in 24 hours <br> ❑ >150 cc of blood per hr <br> Sings and symptoms of hypovolemia }} | ||
{{familytree | |!| | | |!| | | | | | | |!| }} | {{familytree | |!| | | |!| | | | | | | |!| }} | ||
{{familytree | H01 | | H02 | | | | | | H03 | | }} | {{familytree | H01 | | H02 | | | | | | H03 | | H01= Treat underlying disease | H02= CT | H03= Bronchoscopy }} | ||
{{familytree | | | |,|-|^|-|.| | | |,|-|^|-|.| }} | {{familytree | | | |,|-|^|-|.| | | |,|-|^|-|.| }} | ||
{{familytree | | | I01 | | I02 | | I03 | | I04 | | }} | {{familytree | | | I01 | | I02 | | I03 | | I04 | | I01= Diagnose found | I02= Diagnose not found| I03= Location of bleeding found | I04= Location of bleeding not found }} | ||
{{familytree | | | |!| | | |!| | | |!| | | |!| | }} | {{familytree | | | |!| | | |!| | | |!| | | |!| | }} | ||
{{familytree | | | J01 | | J02 | | J03 | | J04 | }} | {{familytree | | | J01 | | J02 | | J03 | | J04 | J01= Treat underlying disease | J02= Bronchoscopy | J03= Endobronchial tamponade | J04= Arteriography }} | ||
{{familytree | | | |!| | | | | | | |!| | | |!| | }} | {{familytree | | | |!| | | | | | | |!| | | |!| | }} | ||
{{familytree | | | K01 | | | | | | K02 | | K03 | }} | {{familytree | | | K01 | | | | | | K02 | | K03 | K01= Find location of bleeding | K02= CT | K03= Bronchial artery embolization}} | ||
{{familytree | | | | | | | | | | | |!| | | |!| | }} | {{familytree | | | | | | | | | | | |!| | | |!| | }} | ||
{{familytree | | | | | | | | | | | L01 | | L02 | }} | {{familytree | | | | | | | | | | | L01 | | L02 | L01= Treat the cause | L02= Treat the cause}} | ||
{{familytree | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | | | | | | | | | }} |
Revision as of 16:53, 27 January 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Definition
Causes
Life Threatening Causes
Common Causes
Management
Characterise the symptoms ❑ Coughing up blood ❑ Chest pain ❑ Tachypnea ❑ Dyspnea | |||||||||||||||||||||||||||||||||||
Examine the patient ❑ Inspection of nasopharynx and oropharynx to exclude hemorrhagic sites from Nasopharynx or gastrointestinal track ❑ Vital signs and oxygen saturation ❑ Respiratory rate ❑ Accessory respiratory muscles use | |||||||||||||||||||||||||||||||||||
❑ UGI bleed ❑ NP bleed | |||||||||||||||||||||||||||||||||||
Order lab ❑ Complete blood count ❑ Arterial blood gas ❑ Coagulation profile ❑ Electrolites ❑ Blood typing and cross match | |||||||||||||||||||||||||||||||||||
Stable patient | Unstable patient | ||||||||||||||||||||||||||||||||||
Chest radiography | |||||||||||||||||||||||||||||||||||
Mild hemoptysis | Moderate hemoptysis | {{{ G03 }}} | {{{ G03 Massive hemotysis }}} | ||||||||||||||||||||||||||||||||
❑ Dysnea ❑ >600 cc of blood in 24 hours ❑ >150 cc of blood per hr Sings and symptoms of hypovolemia | |||||||||||||||||||||||||||||||||||
Treat underlying disease | CT | Bronchoscopy | |||||||||||||||||||||||||||||||||
Diagnose found | Diagnose not found | Location of bleeding found | Location of bleeding not found | ||||||||||||||||||||||||||||||||
Treat underlying disease | Bronchoscopy | Endobronchial tamponade | Arteriography | ||||||||||||||||||||||||||||||||
Find location of bleeding | CT | Bronchial artery embolization | |||||||||||||||||||||||||||||||||
Treat the cause | Treat the cause | ||||||||||||||||||||||||||||||||||