Hematology
This article includes a list of general references, but it lacks sufficient corresponding inline citations. (February 2011) |
System | Blood |
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Subdivisions | Hematological oncology |
Significant diseases | Malaria, Thalassemia, Leukemia, Clotting disorders, Anemia, Chagas Disease, African Sleeping Sickness, |
Significant tests | Blood film, Coagulation tests, Bone marrow aspirate, Complete Blood Count, Erythrocyte Sedimentation Rate, Hemoglobin A1c, Sickle Cell Screen, Manual white blood cell differential, |
Specialist | Hematologist |
Hematology, also spelled haematology (from the Greek αἷμα, haima "blood," and -λoγία), is the branch of medicine concerned with the study, diagnosis, treatment, and prevention of diseases related to blood. Hematology includes the study of etiology.[1] It involves treating diseases that affect the production of blood and its components, such as blood cells, hemoglobin, blood proteins, bone marrow, platelets, blood vessels, spleen, and the mechanism of coagulation. Such diseases might include hemophilia, blood clots, other bleeding disorders and blood cancers such as leukemia, myeloma, and lymphoma. The laboratory work that goes into the study of blood is frequently performed by a medical technologist or medical laboratory scientist. Many hematologists work as hematologist-oncologists, also providing medical treatment for all types of cancer.
Specialization
Physicians specialized in hematology are known as hematologists or haematologists. Their routine work mainly includes the care and treatment of patients with hematological diseases, although some may also work at the hematology laboratory viewing blood films and bone marrow slides under the microscope, interpreting various hematological test results and blood clotting test results. In some institutions, hematologists also manage the hematology laboratory. Physicians who work in hematology laboratories, and most commonly manage them, are pathologists specialized in the diagnosis of hematological diseases, referred to as hematopathologists or haematopathologists. Hematologists and hematopathologists generally work in conjunction to formulate a diagnosis and deliver the most appropriate therapy if needed. Hematology is a distinct subspecialty of internal medicine, separate from but overlapping with the subspecialty of medical oncology. Hematologists may specialize further or have special interests, for example, in:
- treating bleeding disorders such as hemophilia and idiopathic thrombocytopenic purpura
- treating hematological malignancies such as lymphoma and leukemia (cancers)
- treating hemoglobinopathies
- the science of blood transfusion and the work of a blood bank
- bone marrow and stem cell transplantation
Training
Occupation | |
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Names | Medical Specialist |
Occupation type | Specialty |
Activity sectors | Medicine |
Description | |
Education required | |
Fields of employment | Hospitals, Clinics |
To begin in this career, hematologists complete a four-year medical degree which is followed by three or four more years, depending on the person, in residency or internship programs. After completion, they further expand their knowledge of hematology by spending two or three more years learning how to experiment, diagnose, and treat blood disorders. When applying for this career, most job openings look for first hand practical experiences in a recognized training program that provides practice in the following: Cause of abnormalities in formation of blood and other disorders, diagnosis of numerous blood related conditions or cancers using experimentation, and the proper care and treatment of patients in the best manner.
Scope
- Blood
- Red blood cells
- White blood cells
- Platelets
- Reticuloendothelial system
- Lymphatic system
- Blood transfusion
- Hemostasis
- Complement system
- Immunoglobulins
(abnormality of the hemoglobin molecule or of the rate of hemoglobin synthesis)
- Anemias (lack of red blood cells or hemoglobin)
- Hematological malignancies
- Coagulopathies (disorders of bleeding and coagulation)
- ...Sickle Cell Anemia
- ...thalassemia
Treatments
Treatments include:
- Diet advice
- Oral medication – tablets or liquid medicines
- Anticoagulation therapy
- Intramuscular injections (for example, vitamin B12 injections)
- Blood transfusion (for anemia)
- Platelet transfusion
- Fresh Frozen Plasma transfusion
- Cryoprecipitate transfusion
- Venesection also known as therepeutic phlebotomy (for iron overload or polycythemia)
- Bone marrow transplant (for example, for leukemia)
- All kinds of anti-cancer chemotherapy
- Radiotherapy (for example, for cancer)
Alphabetical lists
Sources
- http://www.austincc.edu/mlt/clin1/hematology_review1.pdf
- http://www.news-medical.net/health/What-is-Hematology.aspx