A blog for medical laboratory professionals Tag: He is using his albuterol nebulizer every 3 hours, and feels as though his asthma may be contributing to his symptoms but is not the main cause as he has not had a wet cough and chest heaviness and pain with previous asthma attacks. He has had low grade fevers for the past several days but denies chills, sweats, or hemoptysis.
Hematology and Hematopathology Goals and Objectives At the end of the rotation, the resident will have demonstrated competency in the following skills.
Patient Care Performance of bone marrow aspirates and biopsies in clinical setting by arrangement with Division of Hematology and Oncology Timely completion of bone marrow reports Peripheral blood and body fluid reviews Hemoglobinopathy interpretation HPLC and electrophoresis including correlation with CBC Urinalysis including automated and microscopic exams Joint fluid crystal exams Morphological interpretation of peripheral blood smears and correlation with clinical information Evaluation of Wright-stained body fluids for inflammation and malignancy Morphological examination of joint fluids for crystals Chemical and microscopic urinalysis Automated hematology, including complete blood counts, histogram interpretations and reticulocyte analysis Familiarity with automated hematology analyzer and information system Be able to recognize mature Hematology case studies ascp immature hematopoietic cells in order to perform a differential count on either peripheral blood or bone marrow specimens.
Form a meaningful differential diagnosis for commonly seen hematopoietic diseases. Have an appreciation and working knowledge of the utility and interpretation of ancillary studies such as flow cytometry, immunohistochemistry and cytochemical stains.
Approach the diagnosis of anemias, cytopenias, leukemias, lymphomas, myeloproliferative syndromes, and myelodysplastic syndromes by combining the available morphological and historical information Practice-Based Learning and Improvement Indications and interpretation of special hematology tests, including hemoglobin electrophoresis, glucosephosphate dehydrogenase screens, osmotic fragility tests, etc.
Correlation of Wright-stained body fluids with Cytopathology results Correlation of abnormal blood smear findings and bone marrow findings with flow cytometry results Be able to compare current and previous pathology results to understand treatment effects on disease processes.
Correlate bone marrow results with other pathology on patients Understand the limitations of sub-optimal or inadequate bone marrow specimens. Communication with Laboratory technologists about test methods, additional test requests, etc. Ask appropriate questions of attendings and clinicians to improve understanding of clinical significance of pathologic findings Professionalism Be available in hematology laboratory and sign-out area as required Demonstrate self-motivation in pursuit of hematology rotation requirements Demonstrate courteous and coll egial behavior with peers and laboratory staff Be responsible for obtaining bone marrow smears from Cancer Center lab Follow up on all special stains and studies on assigned cases until the case is completely signed-out.
Read independently on cases and search primary sources. Understand how bone marrow examinations fit into the overall care and management of patients with hematological and malignant conditions.
Understand cost-effective laboratory utilization in the evaluation of hematologic disorders Duration The total requirement is six months. Duties and Responsibilities of Residents by Year Arrange and attend bench instruction with the technologists in each of the component laboratories.
Daily, review and sign out the "Review queue" of abnormal smears with the Attending Pathologist. Enter Review queue results into LIS. Review and sign out hemoglobin electrophoresis results with Attending Pathologist. Obtain pertinent clinical information about every bone marrow case Gather peripheral blood smears, clot specimens and core biopsies when available.
Perform the cell differential count on the peripheral smear using the bone marrow evaluation form as a guide. Order or gather additional studies, such as histochemical stains and immunophenotyping studies and bone marrow or lymph node biopsies.
Attend daily sign-out sessions, reviewing cases seen by all Residents on the rotation. Be available in the hematopathology laboratory area to show cases to clinicians. Senior residents orient junior residents to the duties and responsibilities and review basic morphology with junior residents.
Senior residents may be assigned consult cases from outside institutions for evaluation and sign-out.
Senior residents may sign-out Review queue cases independently, at discretion of the Attending pathologist. Senior resident should take responsibility for more cases than junior resident on busy days. Teaching Staff Howard Meyerson, M.Gretchen Dennis, MLS(ASCP)SH, Hematology Supervisor, Core Laboratory, Nationwide Children’s Laboratory Services, Columbus, OH.
Pediatric hematological disorders can be complex and at times confusing and the peripheral blood smear can provide valuable . Gabrielle Pearl, MT(ASCP) Manager, Hematology & Flow Cytometry Department of Pathology & Laboratory Medicine, Children's Hospital Colorado Review pediatric coagulation case studies including disease states.
Compare coagulation results before and after therapeutic treatment. Marion Technical College MLT Hematology Case Study 1 Name: _____ _____ A new Medical Laboratory Technician was hired and placed in the hematology laboratory section.
Betty Ann recently graduated from an accredited MLT program and passed her ASCP registry. She trained in the hematology lab for 4 weeks and was ready to be utilized in this department to read differentials.
ASCP Annual Meeting activities to the grassroots members. Local Case Studies in Hematology and Coagulation, a compendium of case studies, is the result of a unique collaboration of leading hematologists, hematopathologists, and oncologists. Order it now at.
Category: hematology Hematology Case Study: An 80 Year Old Male with History of CLL. Case History. -Carlo Ledesma, MS, SH(ASCP) CM MT(ASCP i) MT(AMT) is the program director for the Medical Laboratory Technology and Phlebotomy at Rose State College in Midwest City, Oklahoma as well as a technical consultant for Royal Laboratory Services.
Thrombotic Thrombocytopenic Purpura Ihab Abumuhor, BS, MT (ASCP) Ellen Hope Kearns, MS, SH(ASCP)H Overview. The purpose of this case is to define and summarize thrombotic thrombocytopenic purpura (TTP), emphasizing the importance of early diagnosis, treatment and management of patients with this life-threatening, multisystem disease.