Situation

How do you manage someone with a normal CXR, no specific history and haemoptysis ?

Opinion

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Opinion

Obviously books written on this, but as a registrar

Advise cessation of smoking.

Exclude a haemaotological cause

Exclude pulmonary hypertension and cardiac causes eg mitral stenosis by echo.

Repeat HRCT scanning

Bronchoscopy at time of haemoptysis to assess if cause is localised or generalised.

Exclude tuberculosis