Hematology

Hematology Consults

Practical frameworks for common inpatient and outpatient hematology questions encountered during internal medicine residency.

Iron Deficiency

Interpret ferritin, serum iron, TIBC and TSAT, distinguish absolute deficiency from inflammatory iron restriction, identify the cause, choose oral or intravenous replacement, and monitor response.

TSAT calculator Iron deficit Repletion
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Thrombocytopenia

Confirm the count, recognize urgent syndromes, calculate the 4Ts and PLASMIC scores, evaluate ITP, and apply current platelet-transfusion thresholds.

4Ts calculator PLASMIC score Transfusion
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Hemolysis

Confirm red-cell destruction, calculate the corrected reticulocyte response, interpret smear findings and the DAT, distinguish immune from nonimmune causes, and recognize urgent transfusion problems.

Corrected retic RPI calculator DAT interpretation
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Pancytopenia

Distinguish marrow failure, infiltration, nutritional deficiency, infection, medication toxicity, hypersplenism, and consumptive processes.

Coming soon

Coagulation Abnormalities

Approach prolonged PT, aPTT and thrombin time, mixing studies, anticoagulant effects, factor deficiencies, inhibitors, liver disease, and DIC.

Coming soon

Transfusion Reactions

Recognize acute hemolytic reactions, febrile reactions, allergy, anaphylaxis, TACO, TRALI, septic reactions, and delayed hemolysis.

Coming soon