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Pulmonary Haemorrhage & Haemoptysis - Coggle Diagram
Pulmonary Haemorrhage & Haemoptysis
Causes Pulmonary haemorrhage
Vasculitis
Granulomatosis with polyangiitis (previously Wegener's; c-ANCA +ve)
Goodpastures syndrome (antiGBM +ve)
Henoch-Schonlein purpura
Connective tissue disease eg. SLE (ANA, antidsDNA, anti-ENA
Without inflammation 'ie Bland'
Coagulopathy
CCF
Pulmonary HTN
Infective endocarditis
Drugs eg thrombolysis
Toxins eg crack cocaine
Alveolar bleeding due to other causes
PE
ARDS
Pnumonia
Malignancy
Sarcoidosis
HAPE
Management
MDT
respiratory
rhuematology
renal
ABCDE
Oxygen+/- ventilation
Transfusion
Specific
Source control
Stop offending drugs
Bronchoscopy
Cold saline
Adrenalin
Fibrinogen
Balloon-tipped GOgarty catheter
Laser and diathermy
TXA
Immune modulation
Pulsed methyprednisalone
Cyclophosphamide
Plasma exchange
Double lumen tube
Trachea-innominate fistulae
Over inflate tracheostomy
Intubate trachea
Digital compression
Surgical exploration
Haemoptysis Definition
Bronchogenic
Impaired gas ecchange
No set volume
Causes haemoptysis
Bronchogenic carcinoma
Inflammatory disorders
PE
Tracheo innominate fistula
can be caused by a low lying tracheostomy