Haemoptysis differentials

Question 1

History of smoking

Symptoms of malignancy: weight loss, anorexia

Answer 1

Lung cancer

Question 2

Dyspnoea

Bibasal crackles and S3 are the most reliable signs

Answer 2

Pulmonary oedema

Question 3

Fever, night sweats, anorexia, weight loss

Answer 3

TB

Question 4

Pleuritic chest pain

Tachycardia, tachypnoea

Answer 4

PE

Question 5

Usually acute history of purulent cough

Answer 5

LRTI

Question 6

Usually long history of cough and daily purulent sputum production

Answer 6

Bronchiectasis

Question 7

Dyspnoea
Atrial fibrillation
Malar flush on cheeks
Mid-diastolic murmur

Answer 7

Mitral stenosis

Question 8

Often past history of tuberculosis.
Haemoptysis may be severe
Chest x-ray shows rounded opacity

Answer 8

Aspergilloma

Question 9

Upper respiratory tract: epistaxis, sinusitis, nasal crusting
Lower respiratory tract: dyspnoea, haemoptysis
Glomerulonephritis
Saddle-shape nose deformity

Answer 9

Granulomatosis with polyangiitis

Question 10

Haemoptysis
Systemically unwell: fever, nausea
Glomerulonephritis

Answer 10

Goodpasture’s syndrome