What are the most common reasons for a hematology consult?
Common reasons for hematology consult
- Thread starter Artefact
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Persistent leukocystosis, thrombocytopenia, etc.
Survivor DO
Survivor DO
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1. Leukocytosis, anemia and thrombocytopenia in septic, intubated patient on 2 pressors with a clear infectious source in the ICU.
2. Microcytic anemia in a 67yo man with melena and no prior colonoscopy.
3. Chronic (2+ years) whatever-emia in a 97yo with good secondary insurance.
4. Provoked lower extremity DVT in a 50-something patient already therapeutic on coumadin and followed by anticoag clinic with a vague family history of "blood clots."
This is about 95% of the heme consults I see.
1, 3 and 4 will make you poke your eyes out as a fellow but are what private practice attendings refer to as "boat payments". 2 will never make it to you in fellowship but will be a ton of your heme consults in practice because it takes 2 weeks to get in to see GI but only 2 or 3 days to get in to see heme.
2. Microcytic anemia in a 67yo man with melena and no prior colonoscopy.
3. Chronic (2+ years) whatever-emia in a 97yo with good secondary insurance.
4. Provoked lower extremity DVT in a 50-something patient already therapeutic on coumadin and followed by anticoag clinic with a vague family history of "blood clots."
This is about 95% of the heme consults I see.
1, 3 and 4 will make you poke your eyes out as a fellow but are what private practice attendings refer to as "boat payments". 2 will never make it to you in fellowship but will be a ton of your heme consults in practice because it takes 2 weeks to get in to see GI but only 2 or 3 days to get in to see heme.
