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This book covers a wide array of hematologic problems commonly
encountered in the daily practice of critical care and emergency
medicine. Unfortunately, the symptoms and signs associated with
underlying hematologic disorders are frequently rather unspecific
and confounding; furthermore, the clinical course of patients
admitted to intensive care units with such disorders can be
fulminant, warranting prompt diagnosis. This book recognizes the
importance of accurate and speedy interpretation of symptoms in
that the text is symptom oriented rather than disease oriented. Put
another way, the reader confronted with a particular clinical
problem or symptom will be guided step by step to the possible
underlying disorder(s). The scenarios considered include critical
illness in patients with anemia, leukopenia, leukocytosis, abnormal
platelet count, and severe transfusion reactions. For each
circumstance, factors relevant to symptom interpretation are fully
discussed. In addition, helpful diagnostic algorithms are presented
in the form of flow charts that will assist in decision making
regarding the need for further investigations. The closing chapter
is devoted to the drug-induced hematologic disorders. Although the
book is intended mainly for intensivists, other specialists will
find much information of value for their daily practice.
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