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For Grard, so sharp an awakening was but like the passage from one state to another, across that little bridge of one step which lies between heaven and hell, to which he was so used in his dreams

Causes of coughing up blood include: Infection: the most common cause Bronchitis Bronchiectasis Pneumonia Lower respiratory tract infection Chronic obstructive pulmonary disease (COPD) Smoking Foreign object that has been inhaled (aspirated) (usually seen in children) Cystic fibrosis Lung cancer Esophageal cancer Fungal infection with Aspergillus (aspergillosis) Tuberculosis Pulmonary edema Wegener's granulomatosis Inflammation of blood vessels (vasculitis) in the lung Goodpasture syndrome Granulomatosis with polyangiitis Use of certain drugs Certain or procedures Bronchoscopy Laryngoscopy Spirometry Tonsillectomy Upper airway biopsy Uncommon causes of coughing up blood that can be serious or life-threatening include: Other lung infections such as bacterial lung abscess and/or necrotizing pneumonia Acute bronchitis Immunologic lung diseases, such as anti-glomerular basement membrane (anti-GBM

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