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Pulmonary
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Hemoptysis Evaluation
Flowchart
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Massive bleeding = airway, bleeding side down.
Decision
Outcome
Decision
Hemoptysis severity?
✓
Massive (>600 mL/24 h or >100 mL/h) → secure airway
✓
Mild/moderate
Outcome
Secure airway, breathing, circulation; position bleeding side down; selective intubation; bronchoscopy ± bronchial artery embolization ± surgery
Decision
Mild/moderate — initial labs?
✓
CXR, CBC, coags, BMP, UA (± rheum/vasculitis workup)
✗
Bronchoscopy first
Decision
Bleeding stops with conservative care?
✓
Yes → treat underlying cause (bronchitis, pneumonia, malignancy)
✓
No → CT + bronchoscopy
Outcome
Treat underlying etiology
Outcome
CT chest + bronchoscopy; persistent → embolization or resection