Monday, March 15, 2010
Hematology
Hematology
Hematology, also spelled haematology (from the Greek αἷμα haima "blood" and -λoγία), is the branch of internal medicine, physiology, pathology, clinical laboratory work, and pediatrics that is concerned with the study of blood, the blood-forming organs, and blood diseases. Hematology includes the study of etiology, diagnosis, treatment, prognosis, and prevention of blood diseases. The laboratology work that goes into the study of blood is frequently performed by a medical technologist. Hematologists physicians also very frequently do further study in oncology - the medical treatment of cancer.
Blood diseases affect the production of blood and its components, such as blood cells, hemoglobin, blood proteins, the mechanism of coagulation, etc.
Physicians specialized in hematology are known as hematologists. Their routine work mainly includes the care and treatment of patients with hematological diseases, although some may also work at the hematology laboratory viewing blood films and bone marrow slides under the microscope, interpreting various hematological test results. In some institutions, hematologists also manage the hematology laboratory. Physicians who work in hematology laboratories, and most commonly manage them, are pathologists specialized in the diagnosis of hematological diseases, referred to as hematopathologists. Hematologists and hematopathologists generally work in conjunction to formulate a diagnosis and deliver the most appropriate therapy if needed. Hematology is a distinct subspecialty of internal medicine, separate from but overlapping with the subspecialty of medical oncology. Hematologists may specialize further or have special interests, for example in:
Geriatrics
Geriatrics
Geriatrics is a subspecialty of medicine that focuses on health care of the elderly. It aims to promote health and to prevent and treat diseases and disabilities in older adults.
Geriatrics was separated from internal medicine as a distinct entity in the same way that neonatology is separated from pediatrics.[1]
Elderly female in residential care home
There is no set age at which patients may be under the care of a geriatrician. Rather, this is determined by a profile of the typical problems that geriatrics focuses on.
The term geriatrics differs from gerontology which is the study of the aging process itself. The term comes from the Greek geron meaning "old man" and iatros meaning "healer". However "Geriatrics" is considered by some as "Medical Gerontology".
Gastroenterology
Gastroenterology
Gastroenterology (MeSH heading)[1] is the branch of medicine whereby the digestive system and its disorders are studied. Etymologically, the name is a combination of three Ancient Greek words gaster (gen.: gastros) (stomach), enteron (intestine), and logos (reason).
Diseases affecting the gastrointestinal tract, which includes the organs from mouth to anus, along the alimentary canal, are the focus of this specialty. Physicians practicing in this field of medicine are called gastroenterologists. They have usually completed the eight years of pre-medical and medical education, the yearlong internship (if this is not a part of the residency), three years of an internal medicine residency, and two to three years in the gastroenterology fellowship. Specialists in GI radiology, hepatobiliary or gastric medicine, or in GI oncology will then complete a two- or three- year fellowship. Gastroenterology is not the same as gastroenterological surgery or of colon and rectal (proctology) surgery, which are specialty branches of general surgery. Important advances have been made in the last fifty years, contributing to rapid expansion of its scope.
Endocrinology
Endocrinology
Endocrinology (from Greek ἔνδον, endo, "within"; κρῑνω, krīnō, "to separate"; and -λογία, -logia) is a branch of medicine dealing with disorder of the endocrine system and its specific secretions called hormones, the integration of developmental events such as proliferation, growth, and differentiation (including histogenesis and organogenesis) and the coordination of metabolism, respiration, excretion, movement, reproduction, and sensory perception depend on chemical cues, substances synthesised and secreted by specialized cells.
Endocrinology is concerned with the study of the biosynthesis, storage, chemistry, and physiological function of hormones and with the cells of the endocrine glands and tissues that secrete them.
The endocrine system consists of several glands, in different parts of the body, that secrete hormones directly into the blood rather than into a duct system. Hormones have many different functions and modes of action; one hormone may have several effects on different target organs, and, conversely, one target organ may be affected by more than one hormone.
In the original 1902 definition by Bayliss and Starling (see below), they specified that, to be classified as a hormone, a chemical must be produced by an organ, be released (in small amounts) into the blood, and be transported by the blood to a distant organ to exert its specific function. This definition holds for most "classical" hormones, but there are also paracrine mechanisms (chemical communication between cells within a tissue or organ), autocrine signals (a chemical that acts on the same cell), and intracrine signals (a chemical that acts within the same cell).[1] A neuroendocrine signal is a "classical" hormone that is released into the blood by a neurosecretory neuron (see article on Neuroendocrinology).
Emergency medicine
Emergency medicine
Emergency medicine is a medical specialty in which a physician receives practical training to care for patients with acute illnesses or injuries which require immediate medical attention. While not usually providing long-term or continuing care, emergency medicine physicians diagnose a variety of illnesses and undertake acute interventions to stabilize the patient. Emergency medicine physicians practice in hospital emergency departments, in pre-hospital settings via emergency medical services, other locations where initial medical treatment of illness takes place, and recently the intensive-care unit. Just as clinicians operate by immediacy rules under large emergency systems, emergency practitioners aim to diagnose emergent conditions and stabilize the patient for definitive care.
Urgent care centers are staffed by physicians, physician assistants, and nurses including nurse practitioners. Such practitioners may or may not be formally trained in emergency medicine. The centers offer primary care treatment to patients who desire or require immediate care, but who do not reach the acuity that requires care in an emergency department or admission to a hospital.
Physicians specializing in emergency medicine can enter fellowships to receive credentials in subspecialties. These are palliative medicine, medical toxicology, pediatric emergency medicine, sports medicine, and undersea and hyperbaric medicine.
Dermatology
Dermatology
Dermatology is the branch of medicine dealing with the skin and its diseases[1], a unique specialty with both medical and surgical aspects.[2][3][4] The name of this specialty originated in the form of the (semantically wrong) words dermologie (in French, 1764) and, a little later, dermatologia (in Latin, 1777).[5] A dermatologist takes care of diseases, in the widest sense, and some cosmetic problems of the skin, scalp, hair, and nails.[3]
Cardiology
Cardiology
Cardiology (from Greek καρδίᾱ, kardiā, "heart"; and -λογία, -logia) is a medical specialty dealing with disorders of the heart. The field includes diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians specializing in this field of medicine are called cardiologists. Cardiologists should not be confused with cardiac surgeons, cardiothoracic and cardiovascular, who are surgeons who perform cardiac surgery via sternotomy - open operative procedures on the heart and great vessels.
The term cardiology is derived from the Greek word καρδιά (transliterated as kardia and meaning heart or inner self).
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