title: When water is thicker than blood: recognising a systemic cause of haemoptysis.
abstract: The case of an 11-year-old child presenting with acute haemoptysis and breathlessness is described. The girl was Malaysian and had recently arrived in the UK. She subsequently deteriorated, developing respiratory failure. The course of the illness is described, with reference to the diagnostic process at each stage. The case demonstrates the importance of having a broad investigatory approach in acute haemoptysis.
authors: Department of Paediatrics, St Mary's Hospital, London, UK.
authors: Eileen
authors: E
authors: Wedge
authors: Paediatric Emergency Medicine, Chelsea and Westminster Hospital, London, UK.
authors: Ed
authors: E
authors: Abrahamson
authors: Paediatric Infectious Diseases, Department of Paediatrics, St Mary's Hospital, London, UK.
authors: Gareth
authors: G
authors: Tudor-Williams
authors: Paediatric Intensive Care Unit, Department of Paediatrics, St Mary's Hospital, London, UK.
authors: Simon
authors: S
authors: Nadel
authors: Paediatric Renal Medicine, Department of Paediatrics, St Mary's Hospital, London, UK.
authors: Jane
authors: J
authors: Deal
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005921:Glomerulonephritis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006469:Hemoptysis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008296:Malaysia; D010372:Pediatrics / Q000592:standards*; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome; D006113:United Kingdom
keywords: Intensive Care; Nephrology; Paediatric Practice; Respiratory