An Algorithm for the Evaluation of Hemoptysis - Flowchart
An Algorithm for the Evaluation of Hemoptysis - Flowchart
«Flowchart»

Patient with Hemoptysis

Patient with Hemoptysis

Patient with Hemoptysis

End

End

End

Treat underlying disease (usually infection)

Treat underlying disease (usually infection)

Treat underlying disease (usually infection)

End

End

End

CT scan if unrevealing, bronchoscopy

CT scan if unrevealing, bronchoscopy

CT scan if unrevealing, bronchoscopy

Treat underlying disease

Treat underlying disease

Treat underlying disease

End

End

End

History and physical exam

History and physical exam

History and physical exam

Rule out other sources:


Oropharynx
Gastrointestinal tract

Rule out other sources:


Oropharynx
Gastrointestinal tract


Oropharynx
Gastrointestinal tract other sources

Mild

Mild

Mild

Moderate

Moderate

Moderate

Massive

Massive

Massive (Quantify amount of bleeding)

CXR, CBC, coagulation studies, UA, creatinine

CXR, CBC, coagulation studies, UA, creatinine

CXR, CBC, coagulation studies, UA, creatinine

Embolization or resection

Embolization or resection

Embolization or resection

CT scan

CT scan

CT scan

Bronchoscopy

Bronchoscopy

Bronchoscopy

Treat underlying disease

Treat underlying disease

Treat underlying disease

Persistent bleeding

Persistent bleeding

Persistent bleeding

Secure airway

Secure airway

Secure airway

Bleeding stops

Bleeding stops

Bleeding stops

Bleeding continues

Bleeding continues

Bleeding continues

Risk Factors: smoking, age >40

Risk Factors: smoking, age >40

Risk Factors: smoking, age >40

No risk factors*

No risk factors*

* * No risk factors

Risk factors* or recurrent bleeding

Risk factors* or recurrent bleeding

* * Risk factors