Temoptvsis is a symptom and sign commonly evaluated by chest clinicians. Despite considerable emphasis upon the approaches to this problem and its diverse presentations, several questions remain: the selection of ambulatory patients for bronchoscopy and other diagnostic studies, the optimum approaches to the emergency support of individuals with life-threatening bleeding, and the best applications of increasing technologic resources have all been undefined. Moreover, published guidelines for management of patients with hemoptysis are based predominantly upon retrospective studies, uncontrolled anecdotal observations, and case reports, most of which have originated from tertiary centers. It is unclear how this information is synthesized and applied by the physician who is primarily responsible for care of patients presenting with hemoptysis.
Patterns of physician practices are important in defining appropriate standards of care, but there are no current reports available regarding clinicians views and approaches to patients with pulmonary hemorrhage. To assess attitudes about the diagnosis and management of patients with hemoptysis, questions relating to these areas were incorporated in an interactive session of the 1988 Annual Scientific Assembly of the American College of Chest Physicians. A sophisticated audience of experienced chest clinicians had substantial agreement in the practical approach to evaluation and care of patients with hemoptysis, but identified some areas requiring further investigation. Viagra Super Active