Massive Hemoptysis - Differential Diagnosis Framework and Management Definition: 150-600 mL over 24 hours Differential Diagnosis: • Tracheobronchial: Neoplasm, Bronchitis, Bronchiectasis, Trauma, Foreign Body • Parenchymal: PNA, Abscess, TB, Mycetoma, Alveolar Hemorrhage, Lung Contusion, Pneumonitis • Primary Vascular: Pulmonary Embolism, Vasculitis, Mitral Stenosis, AVM, Coagulopathy Initial Management: 1) Indications for Intubation 2) Bad Lung Down 3) Correct Coagulopathy 4) Reverse Anticoagulation 5) Nebulized Tranexamic Acid Interventions: 1) Bronchoscopy 2) IR Embolization 3) Surgical Management Sophia Hayes MD @Sophia_Hayes_MD #Massive #Hemoptysis #Differential #Diagnosis #Management #pulmonary #criticalcare
