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Doctor insights on: Automated Hematology Analyzers

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SLIDE REVIEW results, anisocytosis 1+,microcytes 1+,normochromic,ovalocytes occasional,toxic granulation 2+,toxic vacuoles 1+,large platelet 1+Whado?

SLIDE REVIEW results, anisocytosis 1+,microcytes 1+,normochromic,ovalocytes occasional,toxic granulation 2+,toxic vacuoles 1+,large platelet 1+Whado?

Clinical picture: The real question is, how do you feel? These findings, while abnormal, may never be explained. In isolation, apart from the clinical picture, they are meaningless. I trust the reader is a pathologist or hematologist -- I'm the former, and often remind people that labs, while indispensable, are adjuncts to the clinical findings. ...Read more

Dr. Michael Benjamin
325 doctors shared insights

Hematology (Definition)

Hematology is a field of study in which a person studies the different types of blood cells in the bone marrow, the blood, the lymphatics, their functions, and their diseases. A doctor who specializes in problems of the blood and bone marrow ...Read more


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Normal blood count with blood smear leukocyte; particles of toxic granulation, atypical cells lenfomo nuclear, one cell view of downey. Male, 58 ?

Normal blood count with blood smear leukocyte; particles of toxic granulation, atypical cells lenfomo nuclear, one cell view of downey. Male, 58 ?

Typical cell: This is a typical cell type (both the lymphocytes with toxic granulation and the Downey cell, which similar is a lymphocyte with features consistent with activation). These occur in the context of infection or stress when the lymphocytes are receiving "danger" signals. Can't comment conclusively without knowing more about the clinical situation, but not likely something that needs follow up. ...Read more

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CBC: 9.5/31.6, low indices, RDW 20.7,2+elliptocytes and 1+ schistocytes, significant numbers of large/giant plt. Female from Oman surg clearance?

CBC: 9.5/31.6, low indices, RDW 20.7,2+elliptocytes and 1+ schistocytes, significant numbers of large/giant plt. Female from Oman surg clearance?

Depends: I guess it depends on what the operation is, and the urgency. If it is totally elective, consider a hematology consult. I would start however by discussing with the surgeon, and also consider an anesthesia consult. They will frequently do a preop screening, but should do a more thorough eval if asked. Hope this helps! ...Read more

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Are readings from CBC lab results- lymph auto 4.2-lymph auto % 53-neutro auto 3.1-neutro auto % 38.6-wbc 8.0 and RBC 4.39 in a normal range?Concerned!

Are readings from CBC lab results- lymph auto 4.2-lymph auto % 53-neutro auto 3.1-neutro auto % 38.6-wbc 8.0 and RBC 4.39 in a normal range?Concerned!

Lab tests need to be: Interpreted in the clinical context. Your transmission of the results is not in the usual format but suggests increse in lymphocytes and that can have many different reasons. It would be prudent to discuss it with your doctor and you may wish to check out this site for more info. http://www.webmd.com/a-to-z-guides/complete-blood-count-cbc. ...Read more

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CBP, ESR, Serum Iron, TIBC and identified RBC Morphology : Microcytic- Hypochromic smear seen, Anisocytosis-Poikilocytosis. what test covers etiology?

CBP, ESR, Serum Iron, TIBC and identified
RBC Morphology : Microcytic- Hypochromic smear seen, Anisocytosis-Poikilocytosis. what test covers etiology?

See your doctor: Hypochromic microcitic anemia is most likely due to iron deficiency, but if there is significant poikilocytosis other causes are possible. Your doc may want to send you to a hematologist if the etiology is unclear. Good luck. ...Read more

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Cbc shows i'm anemic. Red blood cell morphology showed platelets- adequate, microcytes 1+, polychromasia 1+. What do those results mean?

Cbc shows i'm anemic. Red blood cell morphology showed platelets- adequate,  microcytes 1+, polychromasia 1+. What do those results mean?

Nothing alone: I'd think first of iron deficiency but it's not going to reveal the actual cause of your anemia -- which must be found. As a pathologist and lab specialist, i'm constantly reminding people that the results are useful only in the clinical context. Your physician will look at your diet, possible reasons for blood loss, your past & maybe family history and more. Stay proactive. ...Read more

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my WBC was high absolute neutrophils and absolute basophils high absolute lymphocytes were low. As well CD3, helper cells cd4 cd 19 low cd15 16 hig?

 my WBC was high absolute neutrophils and absolute basophils  high absolute lymphocytes were low. As well  CD3, helper cells cd4 cd 19 low cd15 16 hig?

See hematologist.: A disease cannot be diagnosed by a blood test and thus you need to discuss the findings with a hematologist or immunologist depending on what kind of disease condition you have especially if this has been a persistently abnormal finding. ...Read more

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UA Automated = 3 RBC's but neg for blood. Hospital lab Ref. range 0 - 1/HPF All other values norm. Cystoscopy excellent. MRU all clear. Why RBC's?

UA Automated = 3 RBC's but neg for blood. Hospital lab Ref. range  0 - 1/HPF   All other values norm. Cystoscopy excellent. MRU all clear. Why RBC's?

UA RBCs. Why?: Automated not as good as a real microscopic exam which should now be done before answer your question. I assume it was a clean catch mid stream urine sample. Otherwise rbcs may be from place other than urinary tract. ...Read more

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Rbc count, WBC count, platelet count, RBC index, WBC differential count, hb, hct all blood test normal. Facing bleeding gum problem recently. Opinion?

Not blood's fault: If CBC normal as you say, more likely due to a change in the oral environment/ dental hygiene. Consider this to see if any change in brush/floss frequency or duration, change in tobacco or alcohol product use, or change in life stressors. In the interim, be sure you are brushing twice daily and flossing daily--this should stop bleeding--if not, consult dentist for exam and advice. ...Read more

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Had triage sob, hepatic panel, complete blood count, hepatic profile, basic metabolic profile, liver 1, lipid profile, hemo a1c, serum-serum all done?

Had triage sob, hepatic panel, complete blood count, hepatic profile, basic metabolic profile, liver 1, lipid profile, hemo a1c, serum-serum all done?

Maybe: It seems as though you've had quite a few tests ordered. Whether or not you're done will likely depend on the reason why they were ordered along with the test results that you'll discuss with your doctor. Good luck. ...Read more

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Pediatrics. IGM0.43 WBC4.1 RBC3.60 PLATELETS120 MCV107.0 MCH34.5 NEUTROPHIL0.66 MONOCYTE0.04 BRUISING EASY does this indicate MDS or APLASTIC AMENIA?

Pediatrics. IGM0.43 WBC4.1 RBC3.60 PLATELETS120 MCV107.0 MCH34.5 NEUTROPHIL0.66 MONOCYTE0.04 BRUISING EASY does this indicate MDS or APLASTIC AMENIA?

Easy bruise: These results do not point to an aplastic condition because there is normal WBC count and adequate platelets. They should have done labs for bleeding diathesis such as Prothrombin time(PT/INR) and Partial thromboplastin time (PTT) as well as possible blood clotting factor levels. ...Read more

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Blood flow cytmtry shows dual positive cd4cd30 cells absolute count of 2354. IGG slightly elevated with elevated light chains, T cell Beta clone noted?

Blood flow cytmtry shows dual positive cd4cd30 cells absolute count of 2354. IGG slightly elevated with elevated light chains, T cell Beta clone noted?

Asking what?: If your are requesting a diagnosis online, this is not the appropriate venue. Though the flow cytometry results are not totally normal, your results should be reviewed with the physician who ordered it. This format does not give us the ability to determine if your clinical presentation and lab results are consistent with a specific diagnosis. ...Read more

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Dizzy, heart racing, fatigueERYTHROPOIETIN-SERUM 32.9 mIU/mL Platelets 8.6, RBC MCV 73 fL , RBC MCHC 30.7 g/dL . What can be wrong?

Dizzy, heart racing, fatigueERYTHROPOIETIN-SERUM 32.9 mIU/mL Platelets 8.6, RBC MCV 73 fL , RBC MCHC 30.7 g/dL . What can be wrong?

Unclear: The numbers you provide don't make sense. For example, platelets are normaly over 140,000. You wrote 8.6. If they were very low, like in the single digits, that could be a medical emergency, but it also is reported in whole numbers. I don't know why you provide an erythrpoeitin level- that would be checked in some caseds of anemia, which you may have and that may explain your symptoms. ...Read more

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Hospitalized for bleeding esophagus. Polyp taken to lab. Blood test. lab results okay? Wbc 8.0, RBC 4.27, hgobin12.7,hemato 36.8, MCV 86.2, eosin 3.2

Hospitalized for bleeding esophagus. Polyp  taken to lab. Blood test. lab results okay? Wbc 8.0, RBC 4.27, hgobin12.7,hemato 36.8, MCV 86.2, eosin 3.2

Labs not problem: These blood tests are unremarkable. The key question is why you were bleeding from the esophagus, and what the nature of that polyp was. Discuss that with your doctor. ...Read more

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How are blood cells counted in a hematology report?

How are blood cells counted in a hematology report?

Usually automated: Blood cells are counted electromechanically as each blood cell is passed thru a really small Loop that acts as counter of number and size in one way.Another way is counting by laser reflections and in both,computers figure what type. The smallest are platelets, followed by red cells,and largest are all types of blood cells. In manual counting, a pathologist IDs blood cells microscopically ...Read more

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Blood report- mcv- 99fl, mch-35.5pg, mchc-35.7g/dl, esr-30mm...Wt does this mean?

Blood report- mcv- 99fl, mch-35.5pg, mchc-35.7g/dl, esr-30mm...Wt does this mean?

Lab data: The mcv, MCH and MCHC are measurements of the size and hemoglobin content of red blood cells. The erythrocyte sedimentation rate is a very non-specific measure of the presence of inflammation. None of these values has any meaning absent their being taken in context of the medical condition of the patient. ...Read more

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Crp .1 mg/l. Ra/anti-dsdna antibs/ana all negative. Why might hematology report indicate "suggested reactive or inflammatory process"? Also noted subset of reactive lymphocytes, occasionally atypical.

Crp .1 mg/l. Ra/anti-dsdna antibs/ana all negative. Why might hematology report indicate "suggested reactive or inflammatory process"? Also noted subset of reactive lymphocytes, occasionally atypical.

See below : Reactive (atypical) lymphocytes are usually due to viral illness or stressor on the body. It could be due to a medicine reaction or autoimmune disorder as well. Your CRP level of 0.1 is very low which is good. And your ra/anti ds dna are negative. So overall they didn't find anything abnormal and they called it possibly due to reactive process. ...Read more

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