wikipedia - hemoptysis (checked).pdf

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6/24/15emoptysis - Wikipedia, the free encyclopedia

Page ttps://en.wikipedia.org/wiki/Hemoptysis

Hemoptysis

ICD-10 R04.2

(http://apps.who.int/classifications/icd10/browse/2015/en#/R04

ICD-9 786.30 (http://www.icd9data.com/getICD9Code.ashx?

icd9=786.30)

DiseasesDB 5578 (http://www.diseasesdatabase.com/ddb5578.htm)

MedlinePlus 003073

(http://www.nlm.nih.gov/medlinepl us/ency/article/003073.htm

MeSH D006469 (http://www.nlm.nih.gov/cgi/mesh/2009/MB_cgi?

field=uid&term=D006469)

HemoptysisFrom Wikipedia, the free encyclopedia

Hemoptysis[a]or haemoptysisis the

act of coughing up bloodor blood-

stained mucus from the bronchi,

arynx, trachea, or lungs. This canoccur with lung cancer, infections

such as tuberculosis, bronchitis, or

pneumonia, and certain

cardiovascular conditions.

Contents

1 Differential diagnosis2 Diagnosis3 Treatment4 Notes5 References6External links

Differential diagnosis

There are many conditions involving hemoptysis, including but not limited to bronchitis and pneumonia moscommonly, but also lung cancers (insmokers,hemoptysis is often persistent), aspergilloma, tuberculosis,

bronchiectasis, coccidioidomycosis, pulmonary embolism, pneumonic plague, and cystic fibrosis. Rarer caus

nclude hereditary hemorrhagic telangiectasia (HHT or Rendu-Osler-Weber syndrome), Goodpasture's

syndrome, and granulomatosis withpolyangiitis. In children, hemoptysis is commonly caused by the presenc

of a foreignbody in the airway. The conditioncan also result from over-anticoagulation from treatment by

drugs such as warfarin.

Blood-laced mucus from the sinus or nose area can sometimes be misidentified as symptomatic of hemoptys

such secretions can be a sign of nasal or sinus cancer, but also a sinus infection). Extensive non-respiratory

njury can also cause one to cough up blood. Cardiac causes like congestive heart failure and mitral stenosisshould be ruled out.

The origin of blood can be identified by observing its color. Bright-red, foamy blood comes from the respirat

ract, whereas dark-red, coffee-colored blood comes from the gastrointestinal tract. Sometimes hemoptysis m

be rust-colored.

Lung cancer, including both non-small cell lung carcinoma and small cell lung carcinoma.[1][2]

Sarcoidosis[3]
https://en.wikipedia.org/wiki/Congestive_heart_failurehttps://en.wikipedia.org/wiki/Mitral_stenosishttps://en.wikipedia.org/wiki/Sinus_infectionhttps://en.wikipedia.org/wiki/Goodpasture%27s_syndromehttps://en.wikipedia.org/wiki/Pulmonary_embolismhttps://en.wikipedia.org/wiki/Pneumonic_plaguehttps://en.wikipedia.org/wiki/Cystic_fibrosishttps://en.wikipedia.org/wiki/Aspergillomahttps://en.wikipedia.org/wiki/Tuberculosishttps://en.wikipedia.org/wiki/Sarcoidosishttps://en.wikipedia.org/wiki/Bronchiectasishttps://en.wikipedia.org/wiki/Hemoptysis#Referenceshttps://en.wikipedia.org/wiki/Hemoptysis#Differential_diagnosishttp://www.nlm.nih.gov/medlineplus/ency/article/003073.htmhttps://en.wikipedia.org/wiki/MedlinePlushttp://www.nlm.nih.gov/medlineplus/ency/article/003073.htmhttps://en.wikipedia.org/wiki/Diseases_Databasehttp://www.diseasesdatabase.com/ddb5578.htmhttps://en.wikipedia.org/wiki/Pneumoniahttps://en.wikipedia.org/wiki/Tuberculosishttps://en.wikipedia.org/wiki/Bronchitishttps://en.wikipedia.org/wiki/ICDhttps://en.wikipedia.org/wiki/List_of_ICD-9_codeshttp://www.icd9data.com/getICD9Code.ashx?icd9=786.30https://en.wikipedia.org/wiki/Lung_cancerhttp://apps.who.int/classifications/icd10/browse/2015/en#/R04.2https://en.wikipedia.org/wiki/Sputumhttps://en.wikipedia.org/wiki/Bronchihttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-1https://en.wikipedia.org/wiki/American_and_British_English_spelling_differenceshttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-4https://en.wikipedia.org/wiki/Sarcoidosishttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-3https://en.wikipedia.org/wiki/Hemoptysis#cite_note-2https://en.wikipedia.org/wiki/Lung_cancerhttps://en.wikipedia.org/wiki/Gastrointestinal_tracthttps://en.wikipedia.org/wiki/Mitral_stenosishttps://en.wikipedia.org/wiki/Congestive_heart_failurehttps://en.wikipedia.org/wiki/Sinus_infectionhttps://en.wikipedia.org/wiki/Sinus_cancerhttps://en.wikipedia.org/wiki/Warfarinhttps://en.wikipedia.org/wiki/Respiratory_tracthttps://en.wikipedia.org/wiki/Foreign_bodyhttps://en.wikipedia.org/wiki/Granulomatosis_with_polyangiitishttps://en.wikipedia.org/wiki/Goodpasture%27s_syndromehttps://en.wikipedia.org/wiki/Hereditary_hemorrhagic_telangiectasiahttps://en.wikipedia.org/wiki/Cystic_fibrosishttps://en.wikipedia.org/wiki/Pneumonic_plaguehttps://en.wikipedia.org/wiki/Pulmonary_embolismhttps://en.wikipedia.org/wiki/Coccidioidomycosishttps://en.wikipedia.org/wiki/Bronchiectasishttps://en.wikipedia.org/wiki/Tuberculosishttps://en.wikipedia.org/wiki/Aspergillomahttps://en.wikipedia.org/wiki/Lung_cancerhttps://en.wikipedia.org/wiki/Pneumoniahttps://en.wikipedia.org/wiki/Bronchitishttps://en.wikipedia.org/wiki/Hemoptysis#External_linkshttps://en.wikipedia.org/wiki/Hemoptysis#Referenceshttps://en.wikipedia.org/wiki/Hemoptysis#Noteshttps://en.wikipedia.org/wiki/Hemoptysis#Treatmenthttps://en.wikipedia.org/wiki/Hemoptysis#Diagnosishttps://en.wikipedia.org/wiki/Hemoptysis#Differential_diagnosishttps://en.wikipedia.org/wiki/Pneumoniahttps://en.wikipedia.org/wiki/Bronchitishttps://en.wikipedia.org/wiki/Tuberculosishttps://en.wikipedia.org/wiki/Lung_cancerhttps://en.wikipedia.org/wiki/Vertebrate_tracheahttps://en.wikipedia.org/wiki/Larynxhttps://en.wikipedia.org/wiki/Bronchihttps://en.wikipedia.org/wiki/Sputumhttps://en.wikipedia.org/wiki/American_and_British_English_spelling_differenceshttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-1http://www.nlm.nih.gov/cgi/mesh/2009/MB_cgi?field=uid&term=D006469https://en.wikipedia.org/wiki/Medical_Subject_Headingshttp://www.nlm.nih.gov/medlineplus/ency/article/003073.htmhttps://en.wikipedia.org/wiki/MedlinePlushttp://www.diseasesdatabase.com/ddb5578.htmhttps://en.wikipedia.org/wiki/Diseases_Databasehttp://www.icd9data.com/getICD9Code.ashx?icd9=786.30https://en.wikipedia.org/wiki/List_of_ICD-9_codeshttps://en.wikipedia.org/wiki/ICDhttp://apps.who.int/classifications/icd10/browse/2015/en#/R04.2https://en.wikipedia.org/wiki/List_of_ICD-10_codeshttps://en.wikipedia.org/wiki/ICD


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Diagnostic approach to solving the puzzle of

hemoptysis.

Aspergilloma[4]

Tuberculosis[5]

Histoplasmosis[6]

PneumoniaPulmonary edemaForeign body aspiration and aspiration pneumonia

Goodpasture's syndrome[7]

Granulomatosis with polyangiitis[8]

Eosinophilic granulomatosis with polyangitis (Churg-Strauss syndrome)

Bronchitis[9]

Bronchiectasis[9]

Pulmonary embolism[10]

Anticoagulant use[10]

Trauma[10]

Lung abscess[10]

Mitral stenosis

Tropical eosinophiliaDrug inducedBleeding disordersHughes-Stovin Syndrome and other variants of Behet's disease

Diagnosis

Past history, history of present illness, family historyhistory of tuberculosis, bronchiectasis, chronicbronchitis, mitral stenosis, etc.

history of cigarette smoking, occupationaldiseases by exposure to silica dust, etc.

Bloodduration, frequency, amountAmounts of blood: large amounts of blood, oris there blood-streaked sputumProbable source of bleeding: Is the bloodcoughed up, or vomited?

Bloody sputumcolor, characters: blood-streaked, fresh blood,

frothy pink, bloody gelatinous.Accompanying symptomsfever, chest pain, coughing, purulent sputum,mucocutaneous bleeding, jaundice.

Imaging examinationchest X-ray, CT scan and 3D reconstructionimages or CT virtual bronchoscopy, bronchialangiography.

Laboratory testsblood test: WBC
https://en.wikipedia.org/wiki/Sputumhttps://en.wikipedia.org/wiki/Cigarette_smokinghttps://en.wikipedia.org/wiki/Beh%C3%A7et%27s_diseasehttps://en.wikipedia.org/wiki/Hughes-Stovin_Syndromehttps://en.wikipedia.org/wiki/Bleeding_disordershttps://en.wikipedia.org/w/index.php?title=Drug_induced&action=edit&redlink=1https://en.wikipedia.org/wiki/Tropical_eosinophiliahttps://en.wikipedia.org/wiki/Mitral_stenosishttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-pulmonologychannel-11https://en.wikipedia.org/wiki/Lung_abscesshttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-pulmonologychannel-11https://en.wikipedia.org/wiki/Physical_traumahttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-pulmonologychannel-11https://en.wikipedia.org/wiki/Anticoagulanthttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-pulmonologychannel-11https://en.wikipedia.org/wiki/Pulmonary_embolismhttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-pulmonologychannel.com-10https://en.wikipedia.org/wiki/Bronchiectasishttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-pulmonologychannel.com-10https://en.wikipedia.org/wiki/Bronchitishttps://en.wikipedia.org/wiki/Churg%E2%80%93Strauss_syndromehttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-9https://en.wikipedia.org/wiki/Granulomatosis_with_polyangiitishttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-8https://en.wikipedia.org/wiki/Goodpasture%27s_syndromehttps://en.wikipedia.org/wiki/Aspiration_pneumoniahttps://en.wikipedia.org/wiki/Foreign_body_aspirationhttps://en.wikipedia.org/wiki/Pulmonary_edemahttps://en.wikipedia.org/wiki/Pneumoniahttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-7https://en.wikipedia.org/wiki/Histoplasmosishttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-6https://en.wikipedia.org/wiki/Tuberculosishttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-5https://en.wikipedia.org/wiki/Aspergillomahttps://en.wikipedia.org/wiki/File:Hemoptysis.png


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Sputum: cells and bacterial examinations, sputum culture

Bronchial fiber endoscopy[11]

Treatment

Treatment depends on the underlying cause. Treatments include iced saline, and topical vasoconstrictors such

adrenalin or vasopressin. Selective bronchial intubation can be used to collapse the lung that is bleeding. Als

endobronchial tamponade can be used. Laser photocoagulation can be used to stop bleeding duringbronchoscopy. Angiography of bronchial arteries can be performed to locate the bleeding, and it can often be

embolized.[12]Surgical option is usually the last resort, and can involve, removal of a lung lobe or removal o

he entire lung. Nonsmall-cell lung cancer can also be treated with erlotinib or gefitinib.[13]

Notes

a. Pronounced /h!"m#pt!s$s/ and also known as emptysis.

References

1. Google Health ! Google (https://health.google.com/health/ref/Lung+cancer+-+small+cell)

2. Google Health ! Google (https://health.google.com/health/ref/Lung+cancer+-+non-small+cell)

3. Sarcoidosis Signs & Symptoms - Sarcoidosis - HealthCommunities.com

(http://www.pulmonologychannel.com/sarcoidosis/symptoms.shtml)

4. MedlinePlus Encyclopedia Pulmonary aspergilloma (http://www.nlm.nih.gov/medlineplus/ency/article/000127.htm)

5. Google Health ! Google (https://health.google.com/health/ref/Pulmonary+tuberculosis)

6. Histoplasmosis Symptoms - Diseases and Conditions - Mayo Clinic

(http://www.mayoclinic.com/health/histoplasmosis/DS00517/DSECTION=symptoms)

7. Pediatric Goodpasture Syndrome (http://emedicine.medscape.com/article/1001872-overview)at eMedicine8. Wegener's granulomatosis Symptoms - Diseases and Conditions - Mayo Clinic

(http://www.mayoclinic.com/health/wegeners-granulomatosis/DS00833/DSECTION=symptoms)

9. Hemoptysis Causes - Hemoptysis - HealthCommunities.com

(http://www.pulmonologychannel.com/hemoptysis/causes.shtml)

10. Other Causes of Hemoptysis - Hemoptysis - HealthCommunities.com

(http://www.pulmonologychannel.com/hemoptysis/other-causes.shtml)

11. Richard F.LeBlond.Diagnostics. US: McGraw-Hill Companies, Inc. ISBN 0-07-140923-8.

12. Uppsala Academic Hospital > Guidelines for treatment of acute lung diseases. August 2004. Authors: Christer Hanso

Carl-Axel Karlsson, Mary Kmpe, Kristina Lamberg, Eva Lindberg, Lavinia Machado Boman, Gunnemar Stlenheim

13. Welcome to Elgg (http://feelsynapsis.com/pg/file/read/65613/treatment-of-nonsmallcell-lung-cancer-with-erlotinib-o

gefitinib)

External links

Haemoptysis (http://www.gpnotebook.co.uk/simplepage.cfm?ID=-254803961)at GPnotebook

Retrieved from "https://en.wikipedia.org/w/index.php?title=Hemoptysis&oldid=667995248"
https://en.wikipedia.org/w/index.php?title=Hemoptysis&oldid=667995248https://en.wikipedia.org/wiki/GPnotebookhttp://www.gpnotebook.co.uk/simplepage.cfm?ID=-254803961http://feelsynapsis.com/pg/file/read/65613/treatment-of-nonsmallcell-lung-cancer-with-erlotinib-or-gefitinibhttps://en.wikipedia.org/wiki/Special:BookSources/0-07-140923-8https://en.wikipedia.org/wiki/International_Standard_Book_Numberhttp://www.pulmonologychannel.com/hemoptysis/other-causes.shtmlhttp://www.pulmonologychannel.com/hemoptysis/causes.shtmlhttp://www.mayoclinic.com/health/wegeners-granulomatosis/DS00833/DSECTION=symptomshttps://en.wikipedia.org/wiki/EMedicinehttp://emedicine.medscape.com/article/1001872-overviewhttp://www.mayoclinic.com/health/histoplasmosis/DS00517/DSECTION=symptomshttps://health.google.com/health/ref/Pulmonary+tuberculosishttp://www.nlm.nih.gov/medlineplus/ency/article/000127.htmhttps://en.wikipedia.org/wiki/MedlinePlushttp://www.pulmonologychannel.com/sarcoidosis/symptoms.shtmlhttps://health.google.com/health/ref/Lung+cancer+-+non-small+cellhttps://health.google.com/health/ref/Lung+cancer+-+small+cellhttps://en.wikipedia.org/wiki/Help:IPA_for_Englishhttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-14https://en.wikipedia.org/wiki/Gefitinibhttps://en.wikipedia.org/wiki/Erlotinibhttps://en.wikipedia.org/wiki/Pneumonectomyhttps://en.wikipedia.org/wiki/Lobectomyhttps://en.wikipedia.org/wiki/Hemoptysis#cite_note-uppsala-13https://en.wikipedia.org/wiki/Embolizationhttps://en.wikipedia.org/wiki/Bronchial_arterieshttps://en.wikipedia.org/wiki/Angiographyhttps://en.wikipedia.org/wiki/Bronchoscopyhttps://en.wikipedia.org/wiki/Laser_photocoagulationhttps://en.wikipedia.org/wiki/Tracheal_intubationhttps://en.wikipedia.org/wiki/Vasopressinhttps://en.wikipedia.org/wiki/Adrenalinhttps://en.wikipedia.org/wiki/Vasoconstrictorshttps://en.wikipedia.org/wiki/Saline_(medicine)https://en.wikipedia.org/wiki/Hemoptysis#cite_note-12


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Categories: Symptoms and signs: Respiratory system Respiratory diseases

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