Hello, med students.

My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.

We have a good one this week.

Here's your case.

Okay, we have a 57-year-old females come from home.

Chief Complaints are going to be coughing up blood for the last, I guess, from this morning anyway, coughing in the amails the whole time, so history is just a little bit boggy.

She says she's been sick times when we, possibly on O2 regularly. We saw it in the

room, but unknown for what? BP 120 over 80, pulse of 94, respirations are 20. We have a bag of meds.

Anybody have any questions? I know that wasn't a whole lot. Oh, yeah, so we didn't see any blood

or kind of how much or anything, but maybe like a small pile of tissues.

So anything else?

Okay, thank you.

Not very specific, right?

But that's kind of how emergency medicine is, but this is hemoptosis, coughing up blood. This is emergency medicine 101. It's not a core

complaint necessarily. You might only get one or two of these when you're rotating, but as always,

my goal is to help you sound smart so that you can get those top one-third scores on your slow.

And the way to sound smart is to know an approach to these less common complaints that

are still common enough to make it worth your time to study.

Today, what I want you to remember are the three types of homoptosis. If you read the textbooks, there's actually

only two official categories, which they call massive in minor hemoptosis. And they have these

arbitrary definitions like, if your patient coughs up more than 100 mls or 200 mls of blood,

that's massive hemoptosis. I don't like that definition

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