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Doctor insights on: Hematology Analyzer

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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
319 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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Is afirma thyroid fna analysis-molecular marker test by veracyte any good for diagnosing papillary thyroid cancer? Http://carolinaendocrine.Com

Is afirma thyroid fna analysis-molecular marker test  by veracyte  any good for diagnosing papillary thyroid cancer?
Http://carolinaendocrine.Com

Pathologist: Already answered(and saw some other answers) to this post earlier today; there is no better way to diagnose this than with a tissue biopsy and an experienced pathologist. ...Read more

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Is Haptoglobin (mg/dl) test a blood chemistry test or hematological test?

Is Haptoglobin (mg/dl) test a blood chemistry test or hematological test?

Haptpglobin: Is a transport protein for the breakdown of hemoglobin. If is used to assess for RBC destruction. When the haptoglobin Is low there is an association with increased hemolysis ...Read more

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Marrow aspirate flow cytometry. Whats importance of the dominant markers in lymphocyte vs. blast gates? Eg. Lymph CD2~5~7~38 Blast 22~34~45~117~hladr

Exactly400Characters: I'm not here to answer.This is beyond my expertise. But I would like to remind you,& others,that we are restricted to 400 characters(not words,but individual letters,etc).I would suspect that a question like this would require some more information before someone would want to commit to an answer and,anyways,the person who ordered and/or did the aspirate should be consulted for definitive answers. ...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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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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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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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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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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Superspecialisation available: MCH in surgical oncology m.Ch.In oncology dm in medical oncology difference?

Superspecialisation available: MCH in surgical oncology m.Ch.In oncology dm in medical oncology difference?

Huh!: I don't understand your question. Surgical oncologists have completed a 5 year residency in surgery and a two year fellowship in surgical oncology. We are surgeons with special interest and experience in treating cancer. Most do not give chemotherapy. Medical oncologists typically start with internal medicine and then subspecialise. They give chemotherapy and other drugs but do not do surgery. ...Read more

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Pathology lab test for thalassemia?

Pathology lab test for thalassemia?

Electrophoresis: Blood counts can suggest thalassemia (small red blood cells). Some thalassemia can be confirmed with electrophoresis, which quantifies the different types of hemoglobin present in rbcs. Similar studies can be done on the parents for additional info. ...Read more

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Alp 170 liver biopsy positive pas kupffer cells portal macrothphyes?

Alp 170     liver biopsy positive pas kupffer cells portal macrothphyes?

Not specific: These are nonspecific descriptors without your clinical history and reason for the liver biopsy, it's difficult to know exactly what it means. In general, elevated liver enzymes may indicate liver injury and with the biopsy findings we can make figure out where the injury is occurring within the liver and what cells or liver structures are affected. ...Read more

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The journal of clinical immunology Volume 2013 (2013), Article ID 535738, 9 -Epstein-Barr Systemic Autoimmune Diseases What is your opinion?

The journal of clinical immunology 
Volume 2013 (2013), Article ID 535738, 9 -Epstein-Barr Systemic Autoimmune Diseases What is your opinion?

Definite possiblity: Therea re alot of papers that indicate the possibility of a latent (hidden) Epstein Barr infection as a cause of autoimmunity as well as the possility that these individuals with autoimmune disease have a relatively imbalanced immune system that could contribute to reactivation of the virus and/or incomplete resolution of the infection. Nadia Ali, M.D, M.B;B.S, MPH, ABHIM, FACP ...Read more

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Blood tests show high mean platelet volume, low platelet count, high urobilinogen, high WBC, high clumpy platelet morphology. Related? conerns?

Why the tests?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it might have helped to have the actual values rather than high and low. Why were the tests done? It would be prudent to discuss these with the doctor who ordered the test as s/he knows more about your health. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

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1/80 + ana, dual pattern, speckled, centro mere. High aca centromere. High histone ab, igg. See sxs list. Recommendations? Other blood tests -.

1/80 + ana,  dual pattern,  speckled,  centro mere.  High aca centromere.  High histone ab,  igg. See sxs list.  Recommendations? Other blood tests -.

Results meaningless: That's right, lab results are meaningless without a history of symptoms, past medical history, family history of related illnesses, previous laboratory tests & your response to medication so far. Without this other information one can only guess at a way to help you. You should be under the care of an experienced rheumatologist. Your primary care provider of local medical society can recommend one. ...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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What does this mean:cerebral spinal fluid analysis: glucose 3.3 mmol/l, chlorides 92.3 mmol/l, protein 0.66 g/l, cytosis 208 (10^6)/l lymphocytes90%?

What does this mean:cerebral spinal fluid analysis: glucose 3.3 mmol/l, chlorides 92.3 mmol/l, protein 0.66 g/l, cytosis 208 (10^6)/l  lymphocytes90%?

Consistent with...: ...Meningitis; glucose in CSF should be at or above 2/3 of blood glucose, and 90% lymphocytes differential is suggestive of, but not diagnostic for, viral meningitis. Until cultures come back (2-3 days) must be treated as bacterial. ...Read more