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Medicine

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Respiratory

Question
20 out of 20
 

In a patient with hemoptysis, indications for hospital-ization all except? (AIIMS Nov 2013)



A Loss of > 600ml of blood per 24 hrs.

B Shock index >1.4

C Hematocrit > 40%

D Patient with comorbid conditions

Ans. C

Hematocrit > 40% (Ref: Hari 18th ed., pg 285)

1). Large volume hemoptysis, referred to as massive hemoptysis, is variably defined as hemoptysis of greater than 200-600 cc in 24 h. massive hemoptysis should be considered a medical emergency.

2). Shock index = Heart rate / Systolic BP.

3). Normal is 0.5 to 0.6 but in any hypovolemic shock (Which may occur in severe hemoptysis also), the index increases and may go upto 1). (Because in severe hypovolumia, heart rate increases and systolic BP falls )

4). Increased shock index is a good parameter to know about hypovolumic shock.

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