Virtual Morning Report - June 18, 2026 - Chronic Hemoptysis

i] Hemoptysis: where is the blood coming from?? - single focus or multifocal or diffuse? - most commonly acute diffuse less quantity bleeding from airway irritation (bronchitis) - What is the status of hemoglobin? Chronicity makes us think it is not brisk, but slow; - Bleeding => Iron deficiency Key question with hemoptysis: SHORTNESS OF BREATH

II] Parenchyma vs Vascular (arterial/venous/capillary): acute hemoptysis makes us think of arterial bleed; subacute hemoptysis compromising lung function and presenting as shortness of breath signifies that vein and capillaries are involved. But a subacute hemoptysis without dyspnea signifies that a part of lung is affected; not the entire lung.

III] A lung lesion and a liver lesion: key question→ related or unrelated?; thinking of infiltrative diseases, infectious disorders like TB, parasitic conditions; check the immune status of the patient.

IV] Power of pertinent negatives: Multifocal (metastatic cancer, disseminated TB) - less likely to not have systemic symptoms or lab abnormalities. “Prioritise serology over histopathological biopsy (only if necessary).” V] Biopsies for suspected echinococcal disease are anyways generally avoided due to the associated risks such as secondary seeding (dissemination) or anaphylaxis.