Hemoptysis resident survival guide: Difference between revisions
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{{familytree | G01 | | G02 | | | | | | G03 | G01= '''Mild hemoptysis''' | G02= '''Moderate hemoptysis''' | G03= '''Massive hemotysis''' <br> ❑ Dysnea <br> ❑ >600 cc of blood in 24 hours <br> ❑ >150 cc of blood per hr <br> Sings and symptoms of hypovolemia }} | {{familytree | G01 | | G02 | | | | | | G03 | G01= '''Mild hemoptysis''' | G02= '''Moderate hemoptysis''' | G03= '''Massive hemotysis''' <br> ❑ 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 | |!| | | |!| | | | | | | | {{familytree | |!| | | |!| | | | | | | G04 | G04= ❑ Secure airway permeability <br> O negative blood type transfusion}} | ||
{{familytree | |!| | | |!| | | | | | | |!| }} | {{familytree | |!| | | |!| | | | | | | |!| }} | ||
{{familytree | H01 | | H02 | | | | | | H03 | | H01= Treat underlying disease | H02= CT | H03= Bronchoscopy }} | {{familytree | H01 | | H02 | | | | | | H03 | | H01= Treat underlying disease | H02= CT | H03= Bronchoscopy }} | ||
{{familytree | | | |,|-|^|-|.| | | |,|-|^|-|.| }} | {{familytree | | | |,|-|^|-|.| | | |,|-|^|-|.| }} |
Revision as of 17:09, 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 | Massive hemotysis ❑ Dysnea ❑ >600 cc of blood in 24 hours ❑ >150 cc of blood per hr Sings and symptoms of hypovolemia | |||||||||||||||||||||||||||||||||
❑ Secure airway permeability O negative blood type transfusion | |||||||||||||||||||||||||||||||||||
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 | ||||||||||||||||||||||||||||||||||