Coughing Up Blood (Hemoptysis): Medical History

Medical history (history of illness) represents an important component in the diagnosis of hemoptysis (hemoptysis).

Family history

  • What is the general health of your relatives?
  • Are there any hereditary diseases in your family?

Social history

  • What is your profession?
  • Are you exposed to harmful working substances in your profession?

Current medical history/systemic medical history (somatic and psychological complaints).

  • When did you first notice blood when you coughed?
  • Please describe the manner of blood when you cough:
    • Blood abundant* ?
    • Blood scanty?
    • Blood frothy?
    • Blood admixtures: light red?, raspberry?, rusty brown?, black?
  • Does blood ejection occur with each coughing burst?
  • Is the coughing up blood caused by a very forceful cough?
  • Has hemoptysis occurred more than once?
  • Has the symptomatology occurred acutely?*
  • Do you suffer from shortness of breath* ? Has this occurred acutely?*
  • Have you noticed any other symptoms? Fever* , weight loss, etc.?

Vegetative anamnesis incl. nutritional anamnesis.

  • Have you noticed any change in appetite?
  • Have you lost body weight unintentionally? If so, how many kilograms in what time?
  • Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
  • Do you use drugs? If yes, what drugs and how often per day or per week?

Self history incl. medication history.

  • Previous diseases (cardiovascular diseases, infections, diseases of the respiratory system (eg, smoker’s catarrh), tumor diseases, trauma (injuries)).
  • Operations
    • Endoscopic lung volume reduction (ELVR) – method for the treatment of severe emphysema.
    • Lung biopsies (tissue removal from the lungs).
  • Radiotherapy
  • Vaccination status
  • Allergies
  • Environmental history
  • Medication history (anticoagulants/anti-hemorrhagic drugs)

* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)