Locations
Office
Lutz, FL
About
Bio
Hernani Cualing is a pathologist/ hematopathologist since 1991, did fellowships in New York and Indiana Univ, attending faculty at Univ of Cincinnati and Moffitt Cancer Center, previously research microbiology immunology and cancer membrane and hybridoma work at Dana Farber Cancer Inst. He was member of cutaneous lymphoma group at Univ of Cincinnati and Univ of St Florida, and since fellowship had collected cases and lectured on hematopathology and reactive lymphadenopathy to residents and fellows, as staff and as director of hematopathology fellowship. He is currently directing a hematopathology and cutaneous lymphomalconsult lab in Florida, reducing his patents to practice via his company IHCFLOW : www.ihcflow.com.
He published a textbook on classification of lymphadenopathy and infections by Wiley : NonNeoplastic Hematopathology and In
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Pathology
Hematology and Oncology
Licenses
United States: Florida
Doctor Q&A
125 Answers
78 Agrees
The number of answers this doctor has agreed with.
A 21-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Cancer of lymph cell: Lymphomas are cancer of lymphocytes that present as tumor of lymph glands or other organs suffused by lymphocytes. These are not one disease but many,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Eyelid swelling: MALTOMA in the eye, like other sites arise from mucosa of that organ as the name is acronym for mucosa associated lymphoid tissue lymphoma. Hence swel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
none if no anemia: Those red blood cell indices are best correlated with wbc, hemoglobin, platelets as well as your complete physical including therapies,drugs, underlyi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Likely inflammatory: The ultrasound findings of small lymph nodes suggest reactive processes, likely in response to parotid gland inflammation. That said, pls check with M... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 29-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Need check up: Online consult is not adequate. May need to check with your doctor or infectious specialist since high neutrophils imply acute infection.The list that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Yes the result of CBC as stated with no significant abnormalities is good for your overall health.
However a bump in the neck need be correctly examin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed May 30, 2021
A 23-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Higher than without: Data from each country may differ but lifetime risks based on good science say H. Pylori gastritis, which are treatable early on, has about 5.8 to 8x ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsAnswered >2 years ago
A 58-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
If tumor remains: Squamous cell carcinoma treatment depends on location,age,size,depth but if small, the excision biopsy could have taken all cancer cells. Verify with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Continue next steps: Keep talking with those doctors as blood test may not reveal the cause of the enlarged neck nodes. Additional examination for possible local inflammat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Not usually: If one has concurrent bacterial or viral infectious process together with Hodgkin lymphoma, then the blood count could be abnormal. Diagnosis of Hodgk... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Laser multicolor tx: There are many info on tattoo removal in wiki as you know, but assuming you did not find them useful, you must have a specific ? unmet. One of the way... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Lump lymphadenopathy: Marginal zone lymphomas are found in lymph nodes, salivary glands, extralymph nodes organs and the signs and symptoms are referable to the location o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Microcytosis causes: Abnormally small red cells may be due to a number of reasons that include acquired or hereditary disorders of the main protein found in red cells-call... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Get examined: I believe these are reactive or benign reactions to your previous story of runny nose but since it is low on neck and on left, have a clinic doc exami... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Acute blood trapping: Sickle cell crisis occurs because these patients red cell are not elastic, gets trapped in vessels, in spleen,liver, lungs,leading to loss from circu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Many things: A not so specific term that could mean low count, pale in color or lacking iron or hemoglobin, irregular instead of round shape, etc. Often in CBC, we... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Goody, See Rbclab.co: Glucose, a form of sugar in blood, fuels red cells to keep it flexible, to maintain oxygen CO2 reactivity via hemoglobin, and keeps its electrolyte, m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Bad E coli: Most E. coli bacteria are harmless,are part of the normal bacteria in bowels, and can benefit humans by producing vitamin K, but some can be bad, and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Not necessarily: Salbutamol, though used as bronchodilator, could be abused and used as doping agent to possibly enhance athletic performance. Side effects are many b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Ck emyograph biopsy: Ten fold increase creatine kinase enzyme,electromyography, muscle biopsy sent to neuropathologists, or human leucocyte gene assays using gene sequenci... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Normal level: Likely pain from exercise unless not time related. Your uric acid level is within normal, less than 7.2. If you have other symptoms pls check locally ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Biomarkers in blood: If your blood had a flow cytometry test showing expression of both markers, CD4 and CD30, and you have a lump or lymphadenopathy,then the hemeonc is l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Yes but unusual: Common sites of Mucosa Associated Lymphoid Tissue (MALTOMA) lymphoma include stomach, salivary gland, skin and those areas have usually antecedent inf... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsAnswered >2 years ago
A 29-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Need more tests: Sounds like infectious but not likely HIV and you need to get back to your inf disease doc and do more tests, would start ruling out STD from bacteria... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
2 comments
A 41-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Not cancer: Hope you feel fine and not to worry. I suppose your doc or a person in the lab told you your CBC and blood have large red cells or macrocytes. If you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Anemia: DONNA you have anemia or low red blood cells. Those values suggest the most common cause, iron deficiency. For a childbearing female excess period ble... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.7k viewsAnswered >2 years ago
A 61-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Several reasons: Standard uptake value (SUV) GREATER than 2.5 is increased but this is to be correlated with GI evaluations, including presence of polyps, inflammatory... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Hemolytic anemia: Anemia can be due to many factors and to even begin to know, clues are found on the size(normo, macro, micro) and coloration (hypo(pale color), normoc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
See your doctor: Your lump you feel between your ribs inside your breast could be a lymph node or something else. You have to get examined, perhaps the mass evaluated ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Yes: Hydroxyurea Is proven to decrease thrombotic clotting complication in Essential Thrombocythemia, the blood cancer with a criteria and usually with pla... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.7k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Could be : Chronic myelogenous leukemia is increased abnormal myeloid and similar stem cells in the bone marrow located in vertebrae and other bones but aside f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 39-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Mono-lymphocytosis: You have increased white blood cells, from lymphocytes and monocytes. Although benign reactions like infections or immune reactions are known causes,i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Lots of years: Oncologists are internal medicine specialist that finished at least 3 yrs of residency followed by at least a year of onocology fellowship. Before tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Likely not say more: Your weekly cbc tests seem unusual but along the way, ask the doc to make a blood smear and check your cells. That would be a good start to see if you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 67-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Kras braf tests are: Molecular testing of colon mets tissue for gene mutations of those two loci predict patients who will or will not respond to precision anti tumor (epi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 48-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Cysts usually benign: Given the duration, presumably imaged 15 yrs ago, it is likely a benign liver cyst. But given you have some liver tissue conditions, like fatty liver ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Hpylori antibodytest: Blood antibody test can detect past or current infection but many people have antibody without disease. Current infections are detected usually noninv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsReviewed >2 years ago
A male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Pls see your doc: Although your signs suggest an inflammatory process with secondary lymphadenopathy, you have to see an oncologist to rule out metastasis, malignancies... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 60-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Need correct terms: Your terms used are not correct or edema or the use of orthopedic doc are not making sense. Need verifications of actual written diagnosis for us to h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Infection not cancer: Sounds like the "Painful swollen lymph node on salivatory gland pain has gone away a bit but get chills hard to get warm and dizziness and body pains,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 16-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Disease not herited: DRESS is short for Drug Reaction with Eosinophilia Systemic Symptoms meaning usually caused by certain drugs with rashes, elevation of some body enzym... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Sounds you are: Two blood tests in two days without saying why say you worry about a disorder but the results,though bordeline high for certain people, may not mean m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 32-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
You have other ills: All your RED CELL RELATED INDICES counts are not too bad and maybe slightly borderline Low to normal. If no ills except worries, best to ffup to see i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 39-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Specific, tho doable: Ethical and regulatory issues aside, large animal stem cell sources including transgenic humanized pigs etc are in intense research for regenerative m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Could be call MD Onc: The most common Cutaneous T cell lymphoma is mycosis fungoides, which are CD4+ but lacks CD30 early on. Once progressed, the CD4 may acquire CD30, and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 32-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Not definitive: Could be ur 2013 colonoscopy was normal and the biopsy was for screening. Nonspecific colitis term is for mucosae with less clear cut clinical and pat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsReviewed >2 years ago
A 51-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Lab chemistry or CBC: In clinics, needle venous blood specimen is sent to the lab for direct detection of hemoglobin in blood cells by color intensity metric vs standard t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Not one but many: The low lymphocytes could be a sign of drugs, immune dysfunction, low production, infections from some virus that cause lymphopenia . The high neutrop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Yes: Many of the causes of low iron levels are treatable. Most people compensate for low iron levels without symptoms but if the cause leads to worsening l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsReviewed >2 years ago
A 32-year-old male asked:
Dr. Hernani Cualinganswered
Pathology 32 years experience
Combination modes: Masses, enlargement of lymph nodes along the chains in neck,, axilla,, inguinal etc are the common signs but rare ones include masses outside nodes li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
99
Thank you notes
Jun 28, 2015
Thanks to reading Dr. Cualing's posts, I have a better understanding of pathology, and I continue to learn a great deal from him. Colleagues and patients benefit alike! I recommend Dr. Cualing without...Read More
HealthTap member
Mar 31, 2015
Dr. Cualing is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Cualing is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Medical oncologist said today to follow-up with GI doctor for further exploration. We will get another opinion via CT in 2 weeks and also get to talk to surgical oncolog...Read More
HealthTap member
This made me feel good. Thanks! I was hoping to get the not so common symptoms that one might get when they are relapsing from HCL. There is so much info on the common symptoms but nothing on the unco...Read More
HealthTap member
Thank you, your answer was very helpful! Which part of the lower lid? Near the eyeball or near the lower lash?
Education & Training
Medical/Graduate school
Indiana University School of Medicine, IN
Graduated 1991MD
Medical/Graduate school
Hematology fellowship Indiana University
Graduated 1991MD
Medical/Graduate school
University of the Philippines College of Medicine, Philippines
Graduated 1978MD
Residency
SUNY Medical/ Nassau Medical Center
Awards
2015 Organizing committee and workshop speaker: Advances in Biomedical Engineering symposium, Philadelphia, PA Apr 27-29, 2015
2014 Editor: Springer June 2014 Book âCutaneous Hematopathologyâ Hernani Cualing, Marshall Kadin, Mai Hoang, Mike Morgan Eds. Running Title: Approach to diagnosis of atypical lymphohematopoietic infiltrates of the skin.
2012 Published Wiley-Blackwell Handbook and E-book: âNonNeoplastic Hematopathology and Infectionsâ as Chief Editor in collaboration with Harvard Medical School and Moffitt Cancer Center
Affiliations
1991- present Fellow of the College of American Pathologists, sustaining member \
2013- House of Delegates member for State of Florida, College of American Pathologist
1996- present International Academy of Pathologists-USCAP 1996- 2000 American Society of Clinical Pathologists 1998- 2002 The International Society for Optical Engineering 1999- 2002 International Society of Preventive Oncology 2002 -2010 Moffitt Cancer Center and Research Inst. In-residence 2002 -2010 American Society of Hematology 2006- 2010 International Society of Analytical Cytology 2010- American Soc iety of Tropical Medicine and Hygiene
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