Hematology

General Hospital Medicine   

Questions discussed in this category


For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...

Given the unprovoked nature, do you favor indefinite anticoagulation? Would a presentation with bilateral distal DVTs or other concerns for thrombophi...

Are there situations in which you still feel comfortable giving IV iron? If not, do you consider PO iron?

If they have been on IV heparin for 3 days, for example, would you subtract those days from the recommended loading dose time?

How do you reconcile the potential risks and benefits of IV fluids in this patient population? Do you have a preferred type of fluid, as was suggested...

Do you prefer anticoagulation? Is there a role for aspirin? How strongly do you recommend line removal?

How do factors like the presence of varices, severity of coagulopathy, etc., play into your decision?

Particularly with prolonged hospitalizations, do you have any concerns about exposing patients to bleeding risks associated with "triple therapy" even...

How do you decide between simple transfusion and red cell exchange?While the 2020 ASH Guidelines provide some conditional guidance on transfusion supp...

Primary care providers often check iron studies during workup for fatigue, even if anemia is not present. 

Such as a patient who cannot tolerate oral iron and has had a anaphylaxis to intravenous iron


Papers discussed in this category


European journal of pharmacology, 2006 Dec 12

American journal of hematology, 2024 Jan 29

Blood Adv, 2020 Jan 28

Annals of internal medicine, 2021 Nov 23

Journal of thrombosis and haemostasis : JTH, 2010 Nov

Journal of thrombosis and haemostasis : JTH, 2022 Aug 10

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2024 Jun 12

American family physician, 2022 Sep

Journal of the American College of Cardiology, 2024 Jun 25

JAMA, 2025 Sep 15

JAMA, 2020 Nov 03

BMJ (Clinical research ed.), 2022 Nov 23