Respiratory symptoms3

1
Respiratory symptoms3

• zhengcuixia

2
hemoptysis

• Bleeding below the level of the larynx that being
  coughed out
• Degrees from blood-tinged sputum to massive
  gross blood, even leading to airway occlusion
  (apnea ) shock. The latter is much less seen.

3
Common causes

• Infectious respiratory disease TB,
  bronchiactesis, bronchitis
• Neoplasm
• Cardiovascular disease MS, PE, PAH, deformity of
  blood vessle
• Other less seen disease leading to hemoptysis.

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Clacification

• Small
• Moderate
• Massive

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Differentiating from hematemesis
hemoptysis hematemesis
Coughed up frothy Vomited without frothy
Preceded by stimulating cough Preceded nausea, vomiting
Bright red Dark red or brown
alkaline acid
History of coughing Gastric, liver disease
Blood-tinged sputum Tar stool
Mixed with sputum Mixed with food
Anemia variable Blood loss common
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Differentiating from upper airway bleeding

• Post nasal bleeding
• Mouth and farynxil membrane bleeding
• by intenssive investigation and examination

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Investigation

• If coughed out or vomitted out
• Volume how much
• Time duration
• Any accompanied appearances