Clinical Case Database / Category: Clinical Care

Assessment and management of haemoptysis

Publication details

Vijay Joshi MBBS, MD, Ashis Banerjee FRCS, FCEM
Foundation Years Journal, volume 2, issue 5, p.231 (123Doc Education, London, June 2008)


A 56-year-old man attends the emergency department following a history of intermittent haemoptysis over the preceding two weeks. This commenced with streaking of blood, and he coughed up a cupful of fresh blood on the morning of attendance. There was no history of chest pain. He has no systemic symptoms, and is otherwise in good general health. He has been a smoker from the age of 19, currently smoking 10 cigarettes a day. On examination, there are no localising signs in the chest. How would you manage him further?

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Vijay Joshi MBBS, MD

Registrar in Integrated Medicine
Chase Farm Hospital

Ashis Banerjee FRCS, FCEM (Corresponding author)

Consultant/Honorary Senior Lecturer in Emergency Medicine
Chase Farm Hospital
The Ridgeway


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2. Weaver LJ, Soliday N, Cugell D. Selection of patients with haemoptysis for fiberoptic bronchoscopy. Chest 1979; 76:7–10.
3. Gibson GJ, Geddes DM, Costabel U et al. Haemoptysis. In: Respiratory Medicine. 3rd edition, Vol 1., 2003. Saunders, Edinburgh.
4. Eddy J. Clinical assessment of massive haemoptysis. Crit Care Med 2000; 28:1642–1647.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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