An Approach to Hemoptysis

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  • čas přidán 31. 03. 2018
  • An overview of the etiologies and appropriate work-up for a patient presenting with hemoptysis (i.e. coughing up blood).

Komentáře • 67

  • @fajerdashti6556
    @fajerdashti6556 Před 5 lety +14

    im just gonna go ahead and like all videos!!! wish i had seen those when i was in med school. now im an OBGYN resident but i want to be a good doctor so im revising common topics as well. loving your channel so much

  • @sanjaymurthy5462
    @sanjaymurthy5462 Před 2 lety +1

    Thank You so much for these great lectures !!

  • @cornelbacauanu1544
    @cornelbacauanu1544 Před 6 lety

    Everyone working in ED or WIC should watch this Video . Thank you .

  • @sunving
    @sunving Před 4 lety

    Thanks Dr Strong

  • @quadruplelatte
    @quadruplelatte Před 6 lety +7

    I had a lingering (mild) cough for over year after a very bad virus. One night woke to “wet” cough that turned out to be frank hemoptysis. X-ray was “clear” (slight overinflation) and after a second episode 2 weeks later I had a CT and was diagnosed with bronciectasis. After taking antibiotics I am almost symptom free - some days I have a little phlegm but not much.

    • @jivy102
      @jivy102 Před 4 lety

      Same to me bro.. 10 years having this. Just now i visited doctor and diagnosed as hemoptysis.

  • @Sam_1964
    @Sam_1964 Před 10 měsíci

    Outstanding presentation. I hope you would do video on Wheezing because it’s such an important symptom and sign. Thank you so much

  • @eniotanaka2229
    @eniotanaka2229 Před 4 lety

    Very clear. Thank you

  • @dhillon09
    @dhillon09 Před 5 lety

    love the 'approach to' videos

  • @rukiahodge3849
    @rukiahodge3849 Před 6 lety

    Great video!! 👍

  • @coolmj420
    @coolmj420 Před 6 lety

    Perfect explanation thank u sir

  • @sumithreddy8629
    @sumithreddy8629 Před 3 lety +1

    Dear sir,
    Hope you cover all approaches in Harrison first part...
    Lucid presentation.
    Thanks a lot

  • @Habe111
    @Habe111 Před 4 lety +2

    you really are amazing, thank you so much for this incredible lecture

  • @onlyfighter5669
    @onlyfighter5669 Před 6 lety

    Thanks dr.

  • @kimo5059
    @kimo5059 Před 6 lety

    Excellent video

  • @JennyPost
    @JennyPost Před rokem

    I had significant hemoptysis in 2018 due to a broncholith, which my pulmonologist said was a calcified lymph node possibly formed as an immune reaction to histoplasmosis. I coughed up blood on five occasions, about 3/4 - 1 shot glass full each time of pure bright red blood, and then later, darker red clots. It was terrifying, but I was advised to hold off on a second ER visit unless I hit 2 short glasses in 24 hours. He did a bronchoscopy to verify it was a broncholith. It eventually quit bleeding. Fast forward to last Sunday night, 4 years later - the horror of it happened again. I coughed up about a shot glass of bright red blood. I did not go to ER. Thank goodness it has not happened again and it has been a week. I have a CT scan on Tuesday after Christmas. I will go to ER if it happens again. My husband tested positive for COVID the same day it happened, and I had been sick (but not positive, according to test) the week prior. Anxious to find out what is going on, but much less freaked out than I was in 20`8. Feeling optimistic that it has only been one spell.

  • @nasimnbz6912
    @nasimnbz6912 Před 3 lety

    Thank you so much , it's really helpful. What is the reference?

  • @masoodmaleky1050
    @masoodmaleky1050 Před 2 lety

    Today i had a patient with 12 day hemotysis that in laryngoscopy had leech sticking to the inlet of the larynx with hematoma in the TVC,s.
    I wish i could share the picture of his larynx with you to add to the algorithem of the hemoptysis

  • @abhisek241288
    @abhisek241288 Před 6 lety +1

    Awesome lecture. Thank you. Can you please post on hiv associated illnesses.

    • @StrongMed
      @StrongMed  Před 6 lety

      Thank you for the comment and suggestion! HIV is on my long list of topics to cover, but unfortunately, I can't offer an approximate time frame for it.

  • @wingsnotstrings
    @wingsnotstrings Před 5 lety

    Can you please upload videos on approach to CNS symptoms too sir

  • @soul177
    @soul177 Před 3 lety

    AMAZINGGGGGG!!!!

  • @Aomame.wow1
    @Aomame.wow1 Před 3 lety

    thank you so much. i really want these videos pdf. please upload :))

  • @toxicbee990
    @toxicbee990 Před 4 lety +1

    I occasionally get hemoptysis.... That's since 2008...prior to that I had noticed an enlarged lymph node in 2006 which is still there...i never visited a doctor out of fear... In the beginning I thought I had TB but after some years I realised it is not TB since it never involves coughing...it is just blood which sometimes just comes into my mouth usually after intense gym moves (jumping jacks etc) and most rarely even in my sleep I see the blood on my pillow... It occurs 1-2 times a year on average... What could it be?

    • @jivy102
      @jivy102 Před 4 lety

      Hey bro.. We have same situation. I have also limp nodes. And not visiting doctor. Now diagnosed as hemoptysis.

    • @HangmanSwe
      @HangmanSwe Před 2 lety

      Do any of you experience fatigue ?

  • @gabrielsticks2829
    @gabrielsticks2829 Před 6 lety +1

    Can you do approach to diarrhea and pain in abdomen. thank you doc!

    • @StrongMed
      @StrongMed  Před 6 lety +3

      Anticipate that abdominal pain and diarrhea will be included in the next set of this series, some time in late spring/early summer.

    • @gabrielsticks2829
      @gabrielsticks2829 Před 6 lety +2

      Just in time, thank you very much on your time and effort

  • @Hussain_Safaa
    @Hussain_Safaa Před 4 lety

    I want to give you 1000 likes!

  • @johntan4251
    @johntan4251 Před 6 lety

    Great video! Is there a way to get in contact with you via e-mail?

  • @kashifmuneer5490
    @kashifmuneer5490 Před 5 lety

    From which book u refer ur lectures sir?

    • @StrongMed
      @StrongMed  Před 5 lety +4

      I don't use any one specific book for reference. For the "approach to symptom" videos, I predominantly use a combination of review papers in the primary literature, relevant UpToDate articles, and personal experience.
      If you are looking for a single book that covers this type of material, Symptom to Diagnosis is probably the best.

  • @MarilenaOni
    @MarilenaOni Před rokem

    I spit blood with saliva out of a sudden without coughing at all for a few months now after having an iron like /blood taste in my mouth. Does anyone know what kind of doctor should i seek or what it could be ? My gums are healthy and i have seen a doctor for my lungs in the past many times, I'm not a smoker either.

    • @StrongMed
      @StrongMed  Před rokem

      I can't offer specific, individualized medical advice here, but for any patient with a symptom for which the diagnosis is uncertain, the best place to start is their primary care doctor.

  • @garrettfarley5656
    @garrettfarley5656 Před 3 lety

    An elevated fall onto your back on a moving body of water causes Massive Hemoptosis. That's why I'm here. I'm researching my injury experience..

  • @anilbhandari117
    @anilbhandari117 Před 6 lety

    Dear Sir...... Request for Neurology topics...

    • @StrongMed
      @StrongMed  Před 6 lety

      Planning on including neurology topics in this series as well, but probably not until next fall/winter.

  • @xyyz738
    @xyyz738 Před 5 lety

    Please upload neurology video

    • @StrongMed
      @StrongMed  Před 5 lety

      Here is one: czcams.com/video/lcdtw93A3Zs/video.html

  • @watchmakerful
    @watchmakerful Před 6 lety +1

    One year ago I had very mild hemoptysis, it turned out to be bronchitis...

    • @tuniworld
      @tuniworld Před 6 lety

      Алексей Рукин hemoptysis does not result from bronchitis, it is vise versa.

    • @watchmakerful
      @watchmakerful Před 6 lety

      Yes, of course...

    • @jivy102
      @jivy102 Před 4 lety

      I am diagnose as hemoptysis. Is this curable? How are you bro i need your advice

  • @jivy102
    @jivy102 Před 4 lety +1

    Anyone has hemoptysis same like me. I need your advice

    • @alexajones2331
      @alexajones2331 Před 4 lety +1

      Yup I have cystic fibrosis so this happens me

    • @jivy102
      @jivy102 Před 4 lety

      @@alexajones2331 hi.. How are you now? I need some advise what is prohibited.

    • @jivy102
      @jivy102 Před 4 lety

      @@alexajones2331 is that same with hemoptysis?

    • @alexajones2331
      @alexajones2331 Před 4 lety

      So Cystic Fibrosis is a lung condition as well as digestive system and in some cases hemoptysis occurs. What advice do you need I can answer some questions?

    • @jivy102
      @jivy102 Před 4 lety

      @@alexajones2331 i feel not good after sleeping with my girlfriend. And after lifting heavy things, exercise or after running. Have you experience some of this?

  • @noncare9079
    @noncare9079 Před 5 lety

    Cough up blood daily have a mass about the size of a dime maybe a bit smaller in my lower left lung lost a bit more than 60 pounds in less than 8 months wake up at night coughing well the coughing is what wakes me up like flem that won't come out or get dislodged to the point I cough and gag so hard I puke and it makes sweat really bad. My right hand goes numb alot too for no reason. I refused any and all treatments and was wondering what's my chance the doctors said I had a 50% chance to live beyond 6 years without treatment. I feel like the Dr's are just trying to scare me into spending thousands for chemo or surgery n shit tho :/

    • @winny5323
      @winny5323 Před 4 lety

      Hello, how are you now? I hope you are better..

    • @noncare9079
      @noncare9079 Před 4 lety

      @@winny5323 not really but i fear going to to the dr

    • @HangmanSwe
      @HangmanSwe Před 2 lety

      ​@@noncare9079 How about now 1 year later after this comment ?

  • @axryl6706
    @axryl6706 Před 2 lety

    Fun fact : This was the disease that Itachi Uchiha was suffering from.