Haematology is the clinical specialty of the haematopoetic & immune system
Physiology centers around the differentiation of the haematopoetic stem cell (below)
Pathology can be divided into malignant (myeloid, lymphoid), clotting, anaemia and everything else
Management involves chemotherapy, immunomodulation and supportive transfusions (RBC, PLT)
Source: https://en.wikipedia.org/wiki/Hematopoietic_stem_cell#/media/File:Hematopoiesis_simple.svg
Pathology is best classified as per the the maturation of haemopoietic blood stem cells
Cancer
Myeloid
Leukaemia: Acute Myeloblastic Leukaemia (AML) , CML (Chronic Myeloid Leukaemia)
Myeloproliferative disorders
Lymphoid
Multiple Myeloma and Monoclonal Gammopathy of Uncertain Significance (MGUS)
Hyperviscosity Syndrome
Paraproteinaemia
Coagulation
Platelets
Platelet dysfunctions
Protein C deficiency
Protein S deficiency
Antithrombin deficiency (previously thrombin III)
Factor V Leiden (controversial)
Prothrombin gene mutation
Erythrocytes (RBC)
Aplastic Anaemia
Microangiopathic haemolytic anaemia (MAHA)
Haemoglobinopathies
Mast Cells
Neutrophils
Eosinophilia
Parasites
Immune related
Nervous- AI Limbic Encephalitis, Multiple Sclerosis, Myasthenia Gravis , Lamberton-Eaton Syndrome, Guillain-Barré Syndrome , Miller Fischer Syndrome,
Endocrine- T1DM, Hashimoto's, Graves, Addison's,
Cardiovascular- pericarditis/ myocarditis / endocarditis,
Vasculitis- (large): GCA/ PMR, TA (Takayasu's Arteritis, (medium): Polyarteritis Nodosa (PAN), Kawasaki's Disease, (small): EGPA, GPA, MPA; HSP,
Respiratory: asthma, ILD, Sarcoidosis,
GI- IBD: UC, Crohn's, AI Hepatitis, PBC , PSC , Coeliac Disease , Pernicious anaemia, Pancreatitis
Urinary- IgA Nephropathy, Poststreptococcal Glomerulonephritis, Goodpasture's Disease, Acute Interstitial Nephritis,
MSK- Rheumatoid Arthritis, Systemic Lupus Erythematous , Systemic Sclerosis , Sjorgen's Syndrome, Dermato/polymyositis , GPA, EGPA , Antiphospholipid Syndrome (APS)
Haematology- HIT, ITP, Acquired Haemophilia, AIHA
Skin- psoriasis, atopic dermatitis, Pemphigus, Pemphigoid, Steven Johnson Syndrome (SJS)
Spleen
Splenectomy
Splenomegaly
PC
B symptoms: night sweats, fevers, weight loss
Lumps
Fatigue
Rashes, bleeding/ bruising
Signs
Lymphadenopathy
Splenomegaly
Investigations
High
Lymphocytosis
Thrombocytosis
Polycythaemia
Low
Neutropenia
Anaemia
Thrombocytopenia
Incidental findings +- symptoms.
Bloods
FBC- Hb, Platelets, Neutrophils
Cr, Urea,
Calcium
LDH, reticulocytes, bilirubin, haptoglobin
Blood film
Procedures
Bone marrow biopsy
Lifestyle
Diet, light exercise, reduce smoking/ alcohol
Supportive
Blood products: RBC, Platelets
Reversal anti-coagulations
Prophylactic: co-trimoxazole, aciclovir, Vit d / Calcium, Omeprazole
Therapeutic
Chemotherapy: doxorubicin, cyclophosphamide, vincristine
Immunosuppression: Prednisolone, Rituxumab, IVIG
Mimetics: EPO, TPO
Procedural
Bone marrow transplant
Blood transfusions
Capacity and informed consent
RBC Complications
Jehovah's Witness
Written in 2025