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HEMATOLOGY


'Hematology' (American English) or 'haematology' (British English) is the branch of biology (physiology), pathology, clinical laboratory, internal medicine, and pediatrics that is concerned with the study of blood, the blood-forming organs, and blood diseases. Hematology includes the study of etiology, diagnosis, treatment, prognosis, and prevention of blood diseases. The lab work that goes into the study of blood is performed by a Medical Technologist.
'Blood diseases' affect the production of blood and its components, such as blood cells, haemoglobin, blood proteins, the mechanism of coagulation, etc.

Contents
Hematologists
Common basic clinical hematology tests
Hematology as basic medical science
Classification of hematologic diseases
Tests
Treatments
Alphabetical lists
External links

Hematologists


Medical doctors who work in hematology are known as 'hematologists'. Their routine work may range from the management of the hematology laboratory, work at the microscope viewing blood films and bone marrow slides, interpretation of various hematological test results, care of in-patients and care of out-patients. Hematologists who work in laboratories are referred to as "hematopathologists", whereas specialists in the treatment of hematologic diseases are called "hematologist/oncologists".
Hematologists may specialise further or have special interests, for example in:

★ treating bleeding disorders such as hemophilia

★ treating hematological malignacies such as lymphoma and leukemia (onco hematology)

★ treating hemoglobinopathies

★ in the science of blood transfusion and the work of a blood bank
''(Hema- comes from the Greek word "`'aima" meaning "blood", -logy comes from the Greek "logos" meaning word. [referring to the first root word, as in biology, with bio- meaning life and, of course

Common basic clinical hematology tests


In a clinical laboratory the hematology department performs numerous different tests on blood. The most commonly performed test is the complete blood count (CBC) also called full blood count (FBC), which includes; white blood cell count, platelet count, hemoglobin level and several parameters of red blood cells. Coagulation is a sub-speciality of hematology; basic general coagulation tests are the prothrombin time (PT) and partial thromboplastin time (PTT). Another common hematology test in the erythrocyte sedimentation rate (ESR).
In a blood bank the Coombs test is the most commonly performed test.

Hematology as basic medical science



Blood


Venous blood


Venipuncture


Hemopoiesis


Blood tests


Cord blood

Red blood cells


Erythropoiesis


Erythropoietin


Iron metabolism


Hemoglobin


Glycolysis


Pentose phosphate pathway

Reticuloendothelial system


Bone marrow


Spleen


Liver

Lymphatic system

Blood transfusion


Blood plasma


Blood bank


Blood donors


Blood groups

Haemostasis


Coagulation


Vitamin K

Complement system


Immunoglobulins

Classification of hematologic diseases



★ 'Hemoglobinopathies' (congenital abnormality of the hemoglobin molecule or of the rate of hemoglobin synthesis)


Sickle-cell disease


Thalassemia


Methemoglobinemia

★ 'Anemias' (lack of red blood cells or hemoglobin)


Iron deficiency anemia


Megaloblastic anemia



Vitamin B12 deficiency




Pernicious anemia



Folate deficiency


Hemolytic anemias (destruction of red blood cells)



★ Genetic disorders of RBC membrane




Hereditary spherocytosis




Hereditary elliptocytosis



★ Genetic disorders of RBC metabolism




Glucose-6-phosphate dehydrogenase deficiency (G6PD)




Pyruvate kinase deficiency



★ Immune mediated hemolytic anaemia (direct Coombs test is positive)




Autoimmune hemolytic anemia





Warm antibody autoimmune hemolytic anemia






★ Idiopathic






Systemic lupus erythematosus (SLE)






Evans' syndrome (antiplatelet antibodies and haemolytic antibodies)





★ Cold antibody autoimmune hemolytic anemia






Idiopathic cold hemagglutinin syndrome






Infectious mononucleosis






Paroxysmal cold hemoglobinuria (rare)




Alloimmune hemolytic anemia





Hemolytic disease of the newborn (HDN)






Rh disease (Rh D)






ABO hemolytic disease of the newborn






Anti-Kell hemolytic disease of the newborn






Rhesus c hemolytic disease of the newborn






★ Other blood group incompatibility (RhC, Rhe, RhE, Kid, Duffy, MN, P and others)




★ Drug induced immune mediated hemolytic anaemia





Penicillin (high dose)





Methyldopa



Hemoglobinopathies (where these is an unstable or crystalline hemoglobin)



Paroxysmal nocturnal hemoglobinuria (rare acquired clonal disorder of red blood cell surface proteins)



★ Direct physical damage to RBCs




Microangiopathic hemolytic anemia




★ Secondary to artificial heart valve(s)


Aplastic anemia



Fanconi anemia



Diamond-Blackfan anemia



Acquired pure red cell aplasia

★ 'Decreased numbers of cells'


Myelodysplastic syndrome


Myelofibrosis


Neutropenia (decrease in the number of neutrophils)


Agranulocytosis


Glanzmann's thrombasthenia


Thrombocytopenia (decrease in the number of platelets)



Idiopathic thrombocytopenic purpura (ITP)



Thrombotic thrombocytopenic purpura (TTP)



Heparin-induced thrombocytopenia (HIT)

★ 'Myeloproliferative disorders' (Increased numbers of cells)


Polycythemia vera (increase in the number of cells in general)


Leukocytosis (increase in the number of white blood cells)


Thrombocytosis (increase in the number of platelets)


Myeloproliferative disorder

★ 'Hematological malignancies'


Lymphomas



Hodgkin's disease



Non-Hodgkin's lymphoma



Burkitt's lymphoma



Anaplastic large cell lymphoma



Splenic marginal zone lymphoma



Hepatosplenic T-cell lymphoma



Angioimmunoblastic T-cell lymphoma (AILT)


Myelomas



Multiple myeloma



Waldenström macroglobulinemia


Plasmacytoma


Leukemias



Acute lymphocytic leukemia (ALL)



Chronic lymphocytic leukemia (CLL)



Acute myelogenous leukemia (AML)



Chronic myelogenous leukemia (CML)



T-cell prolymphocytic leukemia (T-PLL)



B-cell prolymphocytic leukemia (B-PLL)



Chronic neutrophilic leukemia (CNL)



Hairy cell leukemia (HCL)



T-cell large granular lymphocyte leukemia (T-LGL)



Aggressive NK-cell leukemia

★ 'Coagulopathies' (disorders of bleeding and coagulation)


Thrombocytosis


★ Recurrent thrombosis


Disseminated intravascular coagulation


★ Disorders of clotting proteins



Hemophilia




Hemophilia A




Hemophilia B (also known as Christmas disease)




Hemophilia C



Von Willebrand disease



Disseminated intravascular coagulation



Protein S deficiency



Antiphospholipid syndrome


★ Disorders of platelets



Thrombocytopenia



Glanzmann's thrombasthenia



Wiskott-Aldrich syndrome

★ 'Miscellaneous'


Haemochromatosis


Asplenia


Hypersplenism



Gauchers disease


Monoclonal gammopathy of undetermined significance

★ 'Hematological changes secondary to non-hematological disorders'


Anemia of chronic disease


Infectious mononucleosis


AIDS


Malaria


Leishmaniasis

Tests


Tests used in the investigation of hematological problems include:

Full blood count

Erythrocyte sedimentation rate (ESR)

Blood film

Bone marrow examination

Coombs test

Diascopy

★ serum Ferritin level

Vitamin B12 and Folate levels

Prothrombin time

Partial thromboplastin time

Protein electrophoresis

Hemoglobin electrophoresis

D-dimer

Treatments


Treatments include:

Diet advice

★ Oral medication - tablets or liquid medicines

Anticoagulation therapy

★ Intramuscular injections (for example, Vitamin B12 injections)

Blood transfusion (for anemia)

Venesection (for iron overload or polycythemia)

Bone marrow transplant (for example, for leukemia)

Chemotherapy (for example, for leukemia)

Radiotherapy (in decline, for example, for leukemia)

Alphabetical lists








External links



American Society of Hematology

BloodLine

Major milestones in history of hematology (PDF)

Multilingual index

Extensive Hematology Slide Collection

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