Rainy Zhang, our wonderful PGY-3 presented a case of non-massive hemoptysis. Massive hemoptysis is defined as >150cc in 24 hours. If massive, remember to:

  1. Put the affected lung down
  2. Do your ABCs and call IR early
  3. Temporize with inhaled TXA
  4. Bronchoscopy can be done to localize the bleed  

If non massive hemoptysis, think about vasculitis work up – especially with multi-organ involvement. We will go over this case further next week. 

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