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Sumario RESUMEN HEMOPTISIS, BRONCOESPASMO Y CIANOSIS
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RESUMEN HEMOPTISIS, BRONCOESPASMO Y CIANOSIS
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• Expectoración de sangre que proviene de las vías aéreas.• Precedida por cosquilleo laringotraqueal, luego tos.
• Color rojo rutilante (sangre oxigenada) y puede tener burbujas por su contenido
aéreo. La reacción es alcalina.
Diagnósticó diferencial
• HEMATEMESIS: sangre proveniente del aparato digestivo, casi siempre producida
por un vómito, color rojo negruzco y la reacción es ácida.
• EPISTAXIS: sangre roja, sin tos y fácilmente visible a través de las narinas o por
vía nasal posterior
• GINGIVORRAGIA: sangre roja de reacción alcalina, emana de encías enrojecidas,
edematosas, en ocasiones supuradas.
SE INTERNA, ES UNA URGENCIA
Clasificación
• NO MASIVA
• MASIVA: entre 100-600 ml/24hs
Etiópatógenia
CAUSAS DE HEMOPTOSIS
INFLAMATORIAS Bronquiectasias, TBC, absceso de pulmón
NEOPLÁSICAS Carcinoma broncogénico
VASCULARES Diatesis hemorrágicas
OTRAS Traumatismos, cocaína
¿Cómó me apróximó al diagnósticó?
• ANAMNESIS: edad, TBQ, procedencia, contactos
• EXAMEN FÍSICO: pérdida de peso, deterioro del estado general, fiebre
• EXÁMENES COMPLEMENTARIOS:
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