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Erythrocytosis
emDocs - May 24, 2017 - Author: Jeffers K - Edited by: Koyfman A and Long B
"Summary:
- Consult hematology early for recommendations, further evaluation, and definitive treatment.
Secondary erythrocytosis is from numerous causes; a good history and physical will discover most of them! EPO level may be helpful for differentiation.
Treatment of secondary erythrocytosis includes removal of offending cause and possibly phlebotomy.
Consider PV in setting of elevated hemoglobin/hematocrit + symptoms (pruritus, headache, fatigue, difficulty thinking or sleeping, dizziness, hyperuricemia, and bleeding or thrombotic complications) especially in persons >60 years old.
Initial treatment of PV includes phlebotomy (consult your specialist) and low-dose aspirin.
Hyperviscosity syndrome: triad of bleeding, visual disturbances, and focal neurologic signs. Mainstay of treatment is hydration and hematology consult."
emDocs - May 24, 2017 - Author: Jeffers K - Edited by: Koyfman A and Long B
"Summary: