1998 results
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
concerning for malignancy ... → Refer to hematology ... Rebound effect from treatment ... • Malignancy: ... Inflammatory Conditions: Rheumatologic
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Hantavirus • Malignant ... diagnosis #management #treatment ... #rheumatology
Adult-Onset Still's Disease (AOSD)
Rare inflammatory disorder of unknown etiology, difficult to diagnose because of heterogenous presentation.
autoimmune, infectious, malignant ... synovitis (40%) Treatment ... Disease #AOSD #rheumatology ... diagnosis #management #treatment
Venous Thromboembolism Treatment Algorithm
Branch points: 
Active bleeding?  Active malignancy? Provoked?

- Dr. Joseph Shatzel
@Clotmaster

#Management #VTE #DVT
Thromboembolism Treatment ... Active malignancy ... Thromboembolism #Treatment ... #Hematology #Anticoagulation
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
vs infection vs malignancy ... of the steroid treatment ... Treatment of GCA ... them, but urgent rheumatology
Treatment Algorithm for First Time DVT
 • Provoked
 • Unprovoked
 • Active Malignancy

By Carlin Rooke, MD.

#DVT
Treatment Algorithm ... Unprovoked • Active Malignancy ... #DVT #Treatment ... Algorithm #management #hematology
Treatment Algorithm for First Time Pulmonary Embolism
 • Provoked
 • Unprovoked
 • Active Malignancy

By Carlin Rooke,
Treatment Algorithm ... Unprovoked • Active Malignancy ... Pulmonary #Embolism #Treatment ... Algorithm #management #hematology
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
• Burns Non malignant ... effect following treatment ... Non-hematologic malignancy ... Algorithm #Causes #Hematology
Dyspnea - Considerations with Malignancy
Directly Malignancy Related:
 - Lymphangitic spread to lung
 - Malignant pleural effusion
Considerations with Malignancy ... Directly Malignancy ... spread to lung - Malignant ... pleural effusion - Malignant ... metastases Treatment
Thrombocytosis - Differential Diagnosis
Platelet Count > 450
Reactive:
 • Anemia/blood loss (Fe deficiency)
 • Infection/Sepsis
 • Non-infectious
Non-infectious (malignancy ... , rheumatologic, ... causes #Platelets #hematology