Version June 2024
| Examination of sputum at the bedside for amount and color of blood; concomitant purulent secretions |
| Is the patient in respiratory distress (eg, tachypneic, cyanotic, not able to speak in full sentences, using accessory muscles of respiration)? |
| Are there telangiectasias on the lips, tongue, or buccal mucosa to suggest that the patient may have hereditary hemorrhagic telangiectasia? |
| Is there blood in the anterior nose? |
| Does the patient have clubbing of the digits that might suggest lung cancer? |
| Is there a skin rash that may indicate vasculitis, systemic lupus erythematosus (SLE), fat embolism, or infective endocarditis? |
| Is there bruising suggestive of coagulopathy or thrombocytopenia? |
| Are there conjunctival hemorrhages or splinter hemorrhages under the fingernails to suggest endocarditis or vasculitis? |
| Are there needle tracks to suggest right-sided endocarditis? |
| Are there any abnormalities on chest examination (eg, focal wheeze, adventitial sounds or a bruit)? |
| Is there an audible chest bruit or murmur that increases with inspiration? These findings may indicate a large pulmonary arteriovenous malformation. |
| Is the pulmonic heart sound (P2) augmented, or are there murmurs of tricuspid regurgitation or pulmonic insufficiency? These findings with or without a right ventricular lift may suggest pulmonary hypertension. |
| Is there a heart murmur that might signal pulmonary vascular congestion (eg, mitral stenosis, mitral regurgitation) or endocarditis, a potential source of septic emboli? |
| Does the patient have asymmetric peripheral edema or a posterior calf palpable cord to indicate deep venous thrombosis? |
| Does the patient have peripheral edema, joint effusions, or periarticular warmth? |
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