HEMATOLOGY-ONCOLOGY | Time of Care

Mechanisms causing the anemia

Is there evidence for decreased RBC production? Is there evidence for increased red cell destruction (hemolysis)? Is there a history of bleeding?

Anemia Workup Algorithm. Initial steps in evaluating anemia Hemoglobin – That’s how we diagnose anemia and determine severity. From CBC. MCV – This helps classify it down into Microcytic, Normocytic, and Macrocytic Anemias. From CBC. Reticulocyte...

How to Calculate the Absolute Neutrophil Count (ANC)

HEMATOLOGY-ONCOLOGY, INFECTIOUS DISEASES

See this page from Washington University to see sample values. They also show a method to calculate it which is accurate but I find is not intuitive. See page here: HowtoCalculateANC The following intuitive formula gives an easy way to calculate the ANC. To find out...

Risk Factors for Esophageal Cancer

HEMATOLOGY-ONCOLOGY

Risk factors for squamous carcinoma Smoking / Tobacco use Alcohol Smoking Achalasia Black race Diet high in starch and low in fruits and vegetables. Age 60-70 years. Risk factors for esophageal adenocarcinoma Chronic GERD (Gastroesophageal reflux Disease)...

The Gamma Gap

HEMATOLOGY-ONCOLOGY

The Gamma Gap is the difference between total serum protein and albumin. It is frequently used clinical screening measure for both latent infection, malignancy, Multiple Myeloma. “The gamma gap is an independent risk factor for all-cause mortality at values as...

Hypercoagulable States Workup

Clinic A/P, adults, Clinic A/P, Peds, HEMATOLOGY-ONCOLOGY, Hospital A/P, Adults, Hospital A/P, Peds

***Proteins C, S and ATIII levels are affected by acute thrombosis and anticoagulation. Therefore, it’s best to check levels at least two weeks after completing the anticoagulation course. Hereditary Factors Hypercoagulable State Initial Workup Test Confirmation...