RT Book, Section
A1 Burns, Linda J.
A1 Lichtman, Marshall A.
A1 Kaushansky, Kenneth
A1 Prchal, Josef T.
A1 Levi, Marcel
A1 C. Linch, David
A2 Kaushansky, Kenneth
A2 Prchal, Josef T.
A2 Burns, Linda J.
A2 Lichtman, Marshall A.
A2 Levi, Marcel
A2 Linch, David C.
SR Print(0)
ID 1178735857
T1 Consultative Hematology
T2 Williams Hematology, 10e
YR 2021
FD 2021
PB McGraw-Hill Education
PP New York, NY
SN 9781260464122
LK accessmedicine.mhmedical.com/content.aspx?aid=1178735857
RD 2024/04/19
AB SUMMARYHematologists  are  consulted  for  findings  suggestive  of  a  hematologic  disease  as  well  as  for  hematologic  manifestations  that  occur  secondary  to  other  diseases*.  These  abnormal  findings  usually  derive  from  clinical  examination  (eg,  splenomegaly,  signs  of  cutaneous  hemorrhage,  unilateral  leg  edema  suggestive  of  a  venous  thrombosis)  or,  more  commonly,  laboratory  tests  (eg,  blood  counts,  coagulation  tests)  indicative  of  a  disease  of  blood  cell  regulation  or  of  hemostasis  or  thrombosis.  The  consultant’s  role  is  to  confirm  or  determine  the  diagnosis  and,  often,  to  assume  management  and  provide  continuous  patient  care  as  required  by  the  particular  hematologic  disease.  The  consultation  should  include  a  detailed  medical  history,  physical  examination,  and  personal  review  of  all  available  laboratory  test  results  to  permit  an  initial  assessment,  development  of  a  differential  diagnosis,  and  a  systematic  approach  to  further  testing  if  required.This  chapter  discusses  the  general  diagnostic  approach  to  common  findings  that  may  lead  to  a  hematology  consultation,  as  listed  in  Chap.  1,  Table  1–1.  For  a  more  detailed  discussion  of  each,  including  epidemiology,  pathogenesis,  and  treatment,  refer  to  the  corresponding  chapters  cited.