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Coughing blood Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Coughing blood. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you been coughing up blood?

    Why: to determine if acute or chronic.

  2. What quantity of blood do you cough up?

    Why: e.g. may range from small flecks of blood to massive bleeding. Massive bleeding is usually due to bronchiectasis or tuberculosis.

  3. Are you sure that the blood is coughed up?

    Why: e.g. may be confused with blood-stained saliva caused by bleeding from the nose, pharynx or sinuses or may also be confused with vomiting of blood.

  4. How would you describe the cough itself?

    Why: e.g. painful cough may suggest left ventricular heart failure, weak cough may suggest lung cancer.

  5. What time of the day is the cough worse?

    Why: e.g. cough at night left ventricular failure; cough on waking may suggest bronchiectasis.

  6. Is there a possibility of a foreign body such as a peanut having gone down the wrong way?
  7. Past medical history?

    Why: recurrent lung infections from childhood may suggest cystic fibrosis or bronchiectasis; heart attack, high blood pressure, rheumatic heart disease increase the risk of congestive cardiac failure; bleeding disorder.

  8. Medications?

    Why: e.g. warfarin and non-steroidal anti-inflammatory medications may increase the risk of coughing blood.

  9. Family history?

    Why: e.g. cystic fibrosis; anyone in the family had tuberculosis or a chronic cough; bleeding disorders.

  10. Cigarette smoking

    Why: past and present? - increases the risk of lung cancer and chronic bronchitis and worsens outcome for tuberculosis, pneumonia and bronchiectasis.

  11. Sputum production?

    Why: If there is sputum production, describe it? - e.g. copious amounts with offensive smell suggests bronchiectasis or lung abscess; pus-like sputum may suggest pneumonia, abscess, tuberculosis or bronchiectasis; profuse and watery may suggest lung cancer; red-currant jelly may suggest lung cancer; pink and frothy may suggest left ventricular failure with pulmonary edema.

  12. Fever and sputum?

    Why: suggests pneumonia, lung abscess, tuberculosis and bronchiectasis. However bronchiectasis does not commonly cause fever.

  13. Chest pain?

    Why: should suspect pulmonary embolism.

  14. Wheeze?

    Why: may suggest foreign body, lung cancer, congestive left ventricular heart failure.

  15. Shortness of breath?

    Why: In acute cases may suggest congestive heart failure, pulmonary embolism and pneumonia. In chronic cases may suggest chronic congestive heart failure, mitral stenosis, tuberculosis and lung cancer.

  16. Weight loss?

    Why: may suggest lung cancer, tuberculosis, cystic fibrosis.

  17. Swelling of the legs?

    Why: may suggest left ventricular heart failure.

  18. Stridor?

    Why: may suggest foreign body.

  19. Leg swelling?

    Why: may suggest congestive heart failure.

  20. Symptoms of bleeding disorder?

    Why: e.g. easy bruising, heavy menstrual periods, bleeding nose, rectal bleeding.

Conditions listing medical symptoms: Coughing blood:

The following list of conditions have 'Coughing blood' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Coughing blood or choose View All.

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Conditions listing medical complications: Coughing blood:

The following list of medical conditions have 'Coughing blood' or similar listed as a medical complication in our database.

 

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