Bleeding from the Airways

Bleeding from the Airways: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye) [Hemorrhagic diathesis (blood clotting disorders) such as thrombocytopenia (lack of platelets), hemophilia (bleeding disorder)] Abdomen (abdomen) Shape of the … Bleeding from the Airways: Examination

Bleeding from the Airways: Lab Test

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count (platelet count?). Differential blood count Inflammatory parameters – CRP (C-reactive protein) or PCT (procalcitonin). Coagulation parameters – PTT, Quick Laboratory parameters 2nd order – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. … Bleeding from the Airways: Lab Test

Bleeding from the Airways: Diagnostic Tests

Obligatory medical device diagnostics. X-ray of the thorax (radiographic thorax/chest), in two planes. Computed tomography of the thorax (thoracic CT) with CT angiography (imaging technique used to visualize blood vessels in the body)Localization finding: 63-100%; Cause finding: 60-77%. Optional medical device diagnostics – depending on the results of the medical history, physical examination, laboratory diagnostics … Bleeding from the Airways: Diagnostic Tests

Bleeding from the Airways: Symptoms, Complaints, Signs

The following symptoms and complaints may co-occur with Hemorrhage from the respiratory tract: Leading symptom Bleeding from the respiratory tract Associated symptoms Bleeding from the nose and/or mouth Light red/dark red/black color of the blood Vertigo (dizziness) Nausea (nausea) Unconsciousness Signs of shock

Bleeding from the Airways: Therapy

General measures Monitor or ensure vital signs (respiratory and circulatory function; basic life support): Pulse oximetry – continuous noninvasive measurement of arterial blood oxygen saturation and pulse rate. Positioning the patient on the bleeding side – so that endobronchial blood cannot enter unaffected lung segments In case of massive hemoptysis: securing the airway by endotracheal … Bleeding from the Airways: Therapy

Bleeding from the Airways: Medical History

The medical history (history of the patient) represents an important component in the diagnosis of bleeding from the respiratory tract. Family History What is the general health of your family members? Are there any diseases in your family (e.g., lung, tumor diseases) that are common? Social history What is your profession? Are you exposed to … Bleeding from the Airways: Medical History

Bleeding from the Airways: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Pulmonary AV malformation – malformations in the vascular system of the lungs. Respiratory system (J00-J99 Bronchiectasis (synonym: bronchiectasis) – persistent irreversible saccular or cylindrical dilatation of the bronchi (medium-sized airways) that may be congenital or acquired; symptoms: chronic cough with “mouthful expectoration” (large-volume triple-layered sputum: foam, mucus, and … Bleeding from the Airways: Or something else? Differential Diagnosis