Haemoptysis

The table below lists the main characteristics of the most important causes of haemoptysis:

Diagnosis Notes
Lung cancer History of smokingSymptoms of malignancy: weight loss, anorexia
Pulmonary oedema DyspnoeaBibasal crackles and S3 are the most reliable signs
Tuberculosis Fever, night sweats, anorexia, weight loss
Pulmonary embolism Pleuritic chest painTachycardia, tachypnoea
Lower respiratory tract infection Usually acute history of purulent cough
Bronchiectasis Usually long history of cough and daily purulent sputum production
Mitral stenosis DyspnoeaAtrial fibrillationMalar flush on cheeksMid-diastolic murmur
Aspergilloma Often past history of tuberculosis.Haemoptysis may be severeChest x-ray shows rounded opacity
Granulomatosis with polyangiitis Upper respiratory tract: epistaxis, sinusitis, nasal crustingLower respiratory tract: dyspnoea, haemoptysisGlomerulonephritisSaddle-shape nose deformity
Goodpasture's syndrome HaemoptysisSystemically unwell: fever, nauseaGlomerulonephritis