Hemoptysis

Summary: <br> There are 3 main “categories” of hemoptysis…<br> <br> <br> <br> Mild, “Streaky” Hemoptysis<br> <br> <br> <br> * Most common diagnosis* Bronchitis* Testing plan* Chest xray* Rules out alternative causes of hemoptysis* Pneumonia* Cancer* Pulmonary Embolism* Vasculitis<br> <br> <br> <br> Scary but Stable Hemoptysis<br> <br> <br> <br> * Patient is coughing up frank blood* Testing plan* CTA of the chest* CBC* PTT/PT/INR* Electrolytes* Need renal function if giving IV contrast<br> <br> <br> <br> Oh-My-God-That’s-A-Lot-Of-Blood!!! <br> <br> <br> <br> * Intubate the patient* Consult cardiothoracic surgery/interventional radiology<br> <br> <br> <br> Additional Reading<br> <br> <br> <br> * Hemoptysis: An EM Primer <a href="http://www.emdocs.net/hemoptysis-an-em-primer/">(emDOCs)</a><br>