Open main menu
Home
Random
Recent changes
Special pages
Community portal
Preferences
About Wikipedia
Disclaimers
Incubator escapee wiki
Search
User menu
Talk
Dark mode
Contributions
Create account
Log in
Editing
Sputum
(section)
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
==Interpretation== Sputum can be (when examined by the naked eye):{{Citation needed|date=April 2018}} *Bloody<ref name="DeGowin's"/> ([[hemoptysis]]) **Blood-streaked sputum –an indicator of possible inflammation of the throat (larynx and/or trachea) or bronchi; [[lung cancer]]; other bleeding erosions, ulcers, or tumors of the lower airway. **Pink sputum – it indicates sputum evenly mixed with blood from [[Pulmonary alveolus|alveoli]] and/or small peripheral bronchi as is seen in potential [[pulmonary edema]]. **Massive blood – an indicator of possible cavitary [[tuberculosis]] or tumor such as [[lung cancer]], or [[lung abscess]]; [[bronchiectasis]]; lung [[infarction]]; pulmonary [[embolism]]. **Red, jelly-like sputum - an indicator of possible pneumonia caused by [[Klebsiella]]. *Green or greenish colored - indicative of potential longstanding respiratory infection (green from degenerative changes in cell debris) as in pneumonia, ruptured lung abscess, chronic infectious bronchitis, and infected bronchiectasis or cystic fibrosis. *Rust colored – usually caused by [[pneumococcal]] bacteria (in [[pneumonia]]), pulmonary [[embolism]], [[lung cancer]] or pulmonary [[tuberculosis]]. *Brownish –potential indicator of chronic bronchitis (greenish/yellowish/brown); chronic pneumonia (whitish-brown); [[tuberculosis]]; [[lung cancer]]. *Yellow, yellowish [[purulent]] – an indicator of the sample containing pus. "The sputum color of patients with acute cough and no underlying chronic lung disease does not imply therapeutic consequences such as prescription of antibiotics."<ref>{{cite journal|pmc = 3410464|pmid=19242860|doi=10.1080/02813430902759663|volume=27|issue=2|title=Sputum color for diagnosis of a bacterial infection in patients with acute cough|vauthors=Altiner A, Wilm S, Däubener W, Bormann C, Pentzek M, Abholz HH, Scherer M|authorlink7=Martin Scherer|journal=Scand J Prim Health Care|pages=70–3|year=2009}}</ref> The color can provide hints as to effective treatment in chronic bronchitis patients:<ref>[https://web.archive.org/web/20110203101936/http://www.pulmonaryreviews.com:80/aug00/pr_aug00_sputum.html Sputum Color is the Key to Treating Acute COPD Exacerbations]</ref> **A yellow-greenish (mucopurulent) color suggests that treatment with antibiotics can reduce symptoms. The green color is caused by degenerating neutrophil [[Myeloperoxidase|verdoperoxidase]]. *Whitish gray sputum color against a white color background (such as a white sink surface) tends to indicate either a specimen from someone who is dehydrated, and/or from an older person, and/or a specimen with a mixed, modest number of eosinophils and maybe some acute inflammatory neutrophil cells (this last choice tends to suggest chronic allergic bronchitis). *A white, milky, or opaque (mucoid) appearance means that antibiotics are less likely to be effective in treatment because the likelihood is greater of a viral infection or allergy than of antibiotic-responsive micro-organisms. Thickness may indicate asthma. *Foamy white – may come from earlier-phase [[pulmonary edema]]. *Frothy pink – may indicate more severe [[pulmonary edema]]. Antibiotics may not be necessary at this time. *Clear – pulmonary [[embolism]] (clear to frothy); COPD [[chronic obstructive pulmonary disease]] (clear to gray); viral respiratory infection (clear to whitish and sometimes a hint of yellow); [[asthma]] (thick and white to yellowish).
Edit summary
(Briefly describe your changes)
By publishing changes, you agree to the
Terms of Use
, and you irrevocably agree to release your contribution under the
CC BY-SA 4.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)