Suggested Criteria for consultation to Hematologist

(Version 1.0)
Red blood cell abnormality
Anemia
WHO criteria 2011 anemia
Hemoglobin < 13.0 g/dl (Hct 39%)
Hemoglobin < 12.0 g/dl (Hct
36%)
Hb 11.012.9 g/dL

Hb

8.0-10.9 g/dL

Hb < 8.0 g/dL

Anemia in CKD
Hemoglobin > 10.0 g/dL g
Erythroid stimulating agent

Anemia in chronic inflammatory disease

Hemoglobin < 11.0 g/dL Hb drop >=
2 g/dL baseline
Anemia in pregnancy
Hemoglobin < 11.0 g/dL
Anemia in an elderly
Hemoglobin < 11.0 g/dL
Anemia in cancer patient
Hemoglobin < 11.0 g/dL
Preoperative evaluation
Hemoglobin < 11.0 g/dL,
Hemoglobin < 10.0 g/dL,

(
)
Erythrocytosis
Hb > 16.5 g/dL Hct > 50 % Hb >
15 g/dL Hct > 45%

Abnormal hemoglobin typing

 hemoglobin A2 A F
E, Barts, CS, C
hemoglobin A2 > 4%

hemoglobin F > 1%

Thalassemia

MCV
(< 80 fl) Hb typing
White blood cell abnormality
Leukopenia
WBC count < 3,000 cell/uL
absolute neutrophils count 1,500 cell/uL active
infection
Leukocytosis
WBC count > 50,000 cell/ul
WBC count > 10,000 cell/ul infection, inflammation

Neutropenia
Absolute Neutrophils Count < 1,500 cell/ul
Absolute Neutrophils Count < 1,000
cell/ul

 Absolute Neutrophils Count < 500 cell/ul

( Absolute Neutrophils Count Total WBC Count x %
Neutrophils)
Lymphocytosis
Absolute Lymphocyte Count > 5,000 cell/mm3
(Absolute Lymphocyte Count Total WBC x % blood
lymphocyte)
Monocytosis
Absolute Monocyte > 1,000 cell/mm3
Eosinophilia
Absolute Eosinophils Count > 1,500 cell/mm3
peripheral blood Eosinophils > 15%
Basophilia
Basophilis > 5%
Uncommon cells in peripheral blood smear
cell CBC peripheral blood
smear Myelocyte, Promyelocyte, Myeloblast, Lymphoblast,
NRC (nucleated red blood cell)
Platelet abnormality

Thrombocytopenia
platelet count < 100,000
platelet count < 50,000
platelet count < 20,000
Thrombocytosis
platelet count > 400,000
platelet count > 1,000,000
thrombosis
Abnormal in Hemostasis and Coagulation
Preoperative evaluation
Thrombotic bleeding risk

Bleeding disorder

Abnormal coagulation
PT, aPTT, TT prolong, hypofibrinogenemia

Venomous Snake bite

 hematotoxin
coagulogram PT, aPTT, TT, VCT
72
Thrombosis
VTE of uncommon site
Cerebral, Mesenteric, Hepatic, Spleninc vein thrombosis
VTE
40
recurrent VTE
VTE

Transfusion medicine
Transfution reaction
Transfution strategy
Rh negative, Minor blood group

Platelet refractory


1.Severe Anemia
Hb < 8.0 g/dL (Hct < 24% ) Hb < 10 g/dL (Hct <
30% )
(> 60 )
, , ,
,
2.Marked Erythrocytosis
Hb > 18.5 g/dL (Hct > 60%) Hb > 16.5
g/dL

(Hct > 52%)

3.Febrile Neutropenia
Absolute Neutrophile count < 500 cell/uL >
38.0 C
4.Marked Leukocytosis
WBC count > 50,000 cell/ uL
Leukostasis
5.Marked Thrombocytosis
1,000,000/uL
6.Thrombocytopenia
10,000

7.Hemophillia
Hemophillia

CBC
peripheral blood
smear


OPD
1.

2.
CBC
slide
3.
CBC + save clot blood 1 tube
3.

slide ()
4. review

Ward
1. consult

2. slide CBC


3.

MCV

1. MCV < 80 CBC, reticulocyte count,

Hb typing, Serum ferritin
2. MCV (80-95) CBC, reticulocyte
count, Creatinine, LFT
3. MCV > 95 CBC, reticulocyte count,
B12, folate, LFT
4. MCV acute bleeding
CBC, reticulocyte count, PT, aPTT, fibrinogen level, D-dimer