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Doctor insights on: Is It Possible To Have Normal Cbc And Abnormal Blood Smear

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Is it possible to have normal CBC and abnormal blood smear?

Is it possible to have normal CBC and abnormal blood smear?

No: A blood smear is ordered when the CBC is abnormal .A blood smear helps diagnose a range of deficiencies, disease involving blood cell production, function and destruction ; it is also used to monitor cell production/ maturity in diseases eg leukemia, during chemo/radiation therapy and evaluation of different type of hemoglobins. ...Read more

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Complete Blood Count (Definition)

Share on twitter bookmark & share printer-friendly version a complete blood count (CBC) test measures the following: •the number of red blood cells (rbc count) •the number of white blood cells (wbc count) •the total amount of hemoglobin in the blood •the fraction of the blood composed of ...Read more


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Cbc performed-everything normal except low wbc. Blood smear- normal. Told to come bck in 2mths & redraw. Should i be worried? Wht could cause this?

Cbc performed-everything normal except low wbc. Blood smear- normal. Told to come bck in 2mths & redraw. Should i be worried? Wht could cause this?

Probably normal: If you are not at risk for hiv, then you may represent the low end of the bell curve that makes up the "normal" range for wbc. Some people have immune function issues with chronically low counts, others just "rest at low idle" and still ramp up when fighting an infection. See what follow up test shows. ...Read more

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Night sweats with no other symptoms at all, normal CBC,ESR,peripheral blood smear. Lymph nodes under 5mm in short axis in neck. Any Ideas?

Night sweats with no other symptoms at all, normal CBC,ESR,peripheral blood smear. Lymph nodes under 5mm in short axis in neck. Any Ideas?

Night sweats: Two things to consider since all labs are normal: 1: Shower before going to bed. 2: Go to bed with lightweight PJs. If you have been doing something like this for a while without change, a consult to a "Sleep" study would be in order ...Read more

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I have muscle pain and fatigue imade CBC befor 2 month and blood smear both are normal but now my wbc=15.9 what this mean and can be dangerous thing?

I have muscle pain and fatigue imade CBC befor 2 month and blood smear both are normal but now my wbc=15.9 what this mean and can be dangerous thing?

May be: 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, your white cell count is elevated. It is usually due to some infection. It would be prudent to consult your doctor. ...Read more

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Feel small &hard nodes in groin low grade pain.lymph nodes in neck under 5mm in short axis.normal cbc,esr,blood smear,no symptoms except night sweats.

Feel small &hard nodes in groin low grade pain.lymph nodes in neck under 5mm in short axis.normal cbc,esr,blood smear,no symptoms except night sweats.

Symptoms: No symptoms is fine except for night sweats You need to find out why. Far more important is a visit to your doctor about your nodes. Do not put it off. may be nothing to worry about but it could also require further evaluation. Hope all goes well. ...Read more

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31 m - dads brother died of lukemia at 21. Chance I have it? Been sick these past 6 months did CBC blood smear and all kinds of tests normal. Ruled out stomach and lung. having constant chest pain breathing and headaches for 5 months. Test do I need?

31 m - dads brother died of lukemia at 21. Chance I have it? Been sick these past 6 months did CBC blood smear and all kinds of tests normal. Ruled out stomach and lung. having constant chest pain breathing and headaches for 5 months. Test do I need?

Heme Onc: Sorry you are under so much stress. Depending on the type of leukemia and lymphoma there is not usually an inherited component but some risk factors can be inherited. I recommend a Hematology Consult for a careful physical exam and some imaging. Good luck to you. Read:https://www.cancer.org/cancer/acute-lymphocytic-leukemia/causes-risks-prevention/risk-factors.html ...Read more

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Is it true that a blood smear can give you ore accurate results than a cbc?

Is it true that a blood smear can give you ore accurate results than a cbc?

Yes: Yes a pathologist two reviews) furl smear and who has a good knowledge of the red blood cell cytology and the value limits of high and low can tell you the white blood count red blood count and platelet count and also evaluate each cell each type of the white blood cells and the red blood cells whether they are too big or too little whether they're being broken down or made normally. ...Read more

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My daughter has a swollen gorin lymph node and a swollen ankle. Dr. Has done a blood smear/cbc/ultrasound and x-ray. All came back good. Still worried?

My daughter has a swollen gorin lymph node and a swollen ankle. Dr. Has done a blood smear/cbc/ultrasound and x-ray. All came back good. Still worried?

It happens: Both may reflect a bug bite on the affected ankle that has sent bite debris up the leg to the lymph node for cleansing.It could also be an early infection, but that would be reflected in the degree of symptoms & labwork.As long as you & the doc monitor the situation you are doing all you need at this point. ...Read more

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Could a cut on my foot raise my platelets? Count of 700, wbc 13, no other symptoms. Found on routine cbc. Blood smear clean.

Could a cut on my foot raise my platelets? Count of 700, wbc 13, no other symptoms. Found on routine cbc. Blood smear clean.

Not the cut: Follow it. If you are iron deficient, find the cause and get treated. You may have a check to see if a particular mutation is driving it. This is serious but probably not catastrophic. ...Read more

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My peripheral blood smear stated "no abnormal blasts seen." Does that mean there were no blasts seen or only normal blasts were seen?

 My peripheral blood smear stated "no abnormal blasts seen." Does that mean there were no blasts seen or only normal blasts were seen?

No blasts.: Blasts in the peripheral blood are not normal by definition. So if no abnormal blasts were seen, that means there were no blasts in the peripheral blood. ...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 it normal to get atypical lymphocytes in blood film ? Cbc normal . Thank you

Is it normal to get atypical lymphocytes in blood film ? Cbc normal . Thank you

Mono: Atypical lymphocytes are usually associated with infectious mononucleosis. It is a viral infection that causes sore throat, fever, and flu-like symptoms. It can cause your spleen to be enlarged (splenomegaly) so if you were diagnosed with mono stay away from any contact sport or activity where you can get hit in the abdomen and risk splenic rupture. ...Read more

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My test results for CBC and white blood cells with diff. Were normal 3 month ago, now I have atypical lymphocytes 19.7 and neutrophils 1.2 what Is it?

My test results for CBC and white blood cells with diff. Were normal 3 month ago, now I have atypical lymphocytes 19.7 and neutrophils 1.2 what Is it?

Talk to hematologist: If your neutrophils are that low, you probably need to talk to a hematologist. There are lots of things that can cause this, from medications to viruses, etc. This is too complex for a quick online Q&A. ...Read more

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What does an abnormal blood smear showing tear drop cells, ovolacyes, and anisocitosis mean?

What does an abnormal blood smear showing tear drop cells, ovolacyes, and anisocitosis mean?

See Physician : These are discription of the shape of the red blood cells which are different from the the normal disc shaped cells. This represents a abnormally in the formation of the cells and may be related to a number of conditions. You need to see a Physician to sort it out ...Read more

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Abnormal blood smear..I have (h) WBC (l) RBC and (h) platelets and tear drop cells and helmet cells....What is this?

Abnormal blood smear..I have (h) WBC (l) RBC and (h) platelets and tear drop cells and helmet cells....What is this?

Blood smear?: That gives information about the number and shape of blood cells. Tear drop may indicate myelofibrosis, severe iron deficiency, thalassemia major. Schistocyte or helmet cell seen in hemolitic anemia like hemolitic uremic syndrome and artificial heart valves and some other microangiopathic diseases. See your physician for clinical correlation of the results. Shapes are not diagnostic of a disease. ...Read more

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Eos in the 2300-3500 range for at least 6 months + most recent blood smear shows "few smudge cells". Have ruled out parasites. IgE normal. Cancer?

Eos in the 2300-3500 range for at least 6 months + most recent blood smear shows "few smudge cells".  Have ruled out parasites.  IgE normal.  Cancer?

Follow closely: Be aware of Churg-Strauss, especially if you have developed adult asthma. Consider testing for anti neutrophil cytoplasmic antibodies. Read up also on Loeffler's and the various eosinophilic leukemias. Genetic studies might be appropriate. A few smudges mean nothing -- just pushing the smear roughly can create them. Often folks like you just get followed and never get sick. ...Read more

Blood Smear (Definition)

A drop of blood is place on a microscope slide and smeared across the slide and reviewed under a microscope. Sometimes the slide will be stained to further reveal special features of ...Read more


Cbc (Definition)

CBC stands for complete blood count. This is a lab test that counts the different formed elements- red and white ...Read more