HISTORY:
Hemoptysis for
Type: , with color being
Episodes: times
Volume: , approximately ml
Worsening factors:
,
, ,
,
,
, up to °, over
, over
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Nose:
Throat:
Neck:
Heart: ,
Lungs: ,
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- Chest X-ray
- Chest CT scan
- Blood work: , , , ,
- Sputum culture
- Tuberculosis test
- Bronchoscopy
- Smoking cessation counseling
- Referral to pulmonologist
- Follow-up in weeks
- Return if hemoptysis worsens or if new symptoms develop