Hemoptysis

EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD

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Education

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