Title: A Prospective Evaluation of Hemoptysis Cases in a Tertiary Referral Hospital
Authors: Dr Muhammad Shafeek.K, Dr K.V.Padmanabhan, Dr Jesinkumar.C, Dr Vinayak Mohan, Dr Manoj.D.K, Dr Rajani.M
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.03
Abstract
Background: Haemoptysis is an alarming symptom, and the management depends upon the aetiology. The etiology of hemoptysis in various studies is based on the geographic location, the patient population studied, the diagnostic tests employed and the time of publication. Although exact percentages vary in large general populations, bronchiectasis, tuberculosis, and bronchogenic carcinoma are the leading causes of hemoptysis
Methods: We prospectively evaluated 175 patients with haemoptysis admitted to the department of respiratory medicine pariyaram medical college, kannur, kerala., for 1 year.
Results: Among them 160 (91.4%) were males and 15(8.6) were female. The mean age of presentation was 57.31+/13.57. Sputum was positive for AFB in 12% cases. Chest x-ray was abnormal in 94.25% cases. Fibrosis was the most common abnormality (22.28%) followed by consolidation (21.14%)%). Fibreoptic bronchoscopy (FOB) was done in 75 (42.85%) patients CT done in 100 cases. Final diagnosis obtained in 165 cases. Most common cause was found to be due to Pulmonary TB and its sequelae,84 cases(50.9%).
Conclusion: Even in patients with history of ATT, hemoptysis doesn’t always reflect underlying pulmonary TB or its sequelae. Hence proper diagnostic work up should be under taken in those cases also. Careful assessment of aetiology is essential to provide proper treatment.
Keywords: haemoptysis; aetiology; CT scan; bronchoscopy.
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