Massive Hemoptysis - Differential Diagnosis Framework and Management

Definition: 150-600 mL over 24 hours

Differential Diagnosis:

 • Tracheobronchial: Neoplasm, Bronchitis, Bronchiectasis, Trauma, Foreign Body

 • Parenchymal: PNA, Abscess, TB, Mycetoma, Alveolar Hemorrhage, Lung Contusion, Pneumonitis

 • Primary Vascular: Pulmonary Embolism, Vasculitis, Mitral Stenosis, AVM, Coagulopathy

Initial Management:

1) Indications for Intubation

2) Bad Lung Down

3) Correct Coagulopathy

4) Reverse Anticoagulation

5) Nebulized Tranexamic Acid

Interventions:

1) Bronchoscopy

2) IR Embolization

3) Surgical Management



Sophia Hayes MD @Sophia_Hayes_MD



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