Approach to the Management of Hemoptysis - Flowchart
Approach to the Management of Hemoptysis - Flowchart
«Flowchart»

Pt with hemoptysis

Pt with hemoptysis

Pt with hemoptysis

End

End

End

CBC, complete blood count; CT, computed tomography; CXR, chest x-ray; UA, urinalysis.

CBC, complete blood count; CT, computed tomography; CXR, chest x-ray; UA, urinalysis.

CBC, complete blood count; CT, computed tomography; CXR, chest x-ray; UA, urinalysis.

History and physical examination

History and physical examination

History and physical examination

Rule out other sources:


Oropharynx
Gastrointestinal tract

Rule out other sources:


Oropharynx
Gastrointestinal tract


Oropharynx
Gastrointestinal tract Rule out other sources

Quantify amount of bleeding

Quantify amount of bleeding

Quantify amount of bleeding

Non-massive

Non-massive

Non-massive

Massive

Massive

Massive

CXR, CBC, UA, creatinine, coagulation studies

CXR, CBC, UA, creatinine, coagulation studies

CXR, CBC, UA, creatinine, coagulation studies

Treat underlying disease (usually infection)

Treat underlying disease (usually infection)

Treat underlying disease (usually infection)

No risk factors

No risk factors

No risk factors

Risk factors

Risk factors

Risk factors

Persistent bleeding

Persistent bleeding

Persistent bleeding

CT scan

CT scan

CT scan

Bronchoscopy

Bronchoscopy

Bronchoscopy

Treat underlying disease

Treat underlying disease

Treat underlying disease

Persistent bleeding

Persistent bleeding

Persistent bleeding

Embolization or resection

Embolization or resection

Embolization or resection

Protect airway

Protect airway

Protect airway

Bleeding stops

Bleeding stops

Bleeding stops

Bleeding continues

Bleeding continues

Bleeding continues