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Hematology Course: an overview of Clinical Hematology Dr. Ahmed Elshebiny , MD Lecturer of Internal Medicine Faculty of Medicine, Menoufyia University Former Clinical Research Fellow, Joslin Diabetes Center, Harvard University
Course includes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Structure and Function The blood and bone marrow
Blood as a circulatory fluid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Blood is continuously renewed
The Bone Marrow is the blood Factory May be exposed to damage or failure
Spleen? ,[object Object],[object Object]
Red blood cells ,[object Object],[object Object],[object Object],[object Object]
Red cell membrane ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemoglobin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Fetal and neonatal hemoglobins
HB and MCV  values with age & sex
Haemopooiesis ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Aplastic Anemia
Bone marrow aspiration and biopsy
Bone marrow aspiration
P.N.H
Hematology Course (2): Clinical Hematology Abnormal Blood count
Manifestations of blood diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Full blood count ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
N.B. ,[object Object],[object Object],[object Object]
Anemia ,[object Object],[object Object],[object Object],[object Object]
Polycythemia ,[object Object],[object Object]
Leucocytosis ,[object Object],[object Object],[object Object]
WBCs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neutropenia ,[object Object],[object Object],[object Object],[object Object]
Drugs associated with neutropenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neutrophil disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Neutroppenia Netrophilia
Lymphocytic count disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lymphopenia Lymphocytosis
Eosinophils ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Eosinopenia Eosinophilia
Basophils ,[object Object],[object Object],[object Object],[object Object],basopenia Basophilia ( rare)
Monocytosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Platelets (thrombocytopenia) ,[object Object],[object Object],[object Object]
Platelets (thrombocytosis) ,[object Object],[object Object]
Blood film ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hematology Course (3): Clinical Hematology Anemia :  a clinical approach!
Anemia is operationally defined as a reduction in one or more of the major RBC measurements:  hemoglobin concentration, hematocrit, or RBC count  Keep in mind these are all concentration measures … most accurately measured by obtaining a RBC mass via isotopic dilution methods.  Definition:
Kinetic approach to anemias ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal blood film
Morphological approach
Reticulocytes ,[object Object],[object Object]
Reticulocytes
Low MCV ,[object Object],[object Object],[object Object],[object Object],[object Object]
Iron difficiency anemia Thalassemia
Thalassemia
Sickle cell anemia
Spherocytosis
Hemolytic anemia
Normocytic anemia ,[object Object],[object Object],[object Object],[object Object]
Macrocytic anemia
B  12  and folate deficiency
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK  YOU

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