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Doctor insights on: Left Shift Blood Smear And Notmal Cbc

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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

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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Is it true that a blood smear can provide more accuracy then a cbc?

Is it true that a blood smear can provide more accuracy then a cbc?

Yes: A blood smear can provide more accurate results than a CBC but a CBC is always done first ...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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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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My Recent blood Smear showed Slight "Polychromasia"; CBC is normal except: Low Granulocytes & High Lymphocytes. (Last 2 Years showed: Poikilocytosis & Mild Neutropenia). Not Anemic. Possible Causes of this Polychromasia? Should this be checked into?

My Recent blood Smear showed Slight "Polychromasia"; CBC is normal except: Low Granulocytes & High Lymphocytes. (Last 2 Years showed: Poikilocytosis & Mild Neutropenia). Not Anemic. Possible Causes of this Polychromasia? Should this be checked into?

Any symptoms?: Why was the test done? 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. Talk to the doctor who ordered the tests. Having said that, nothing in the information you provided warrants any concern.
Wish you 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, if you have sex. ...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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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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What does a left shift mean on a CBC blood test?

What does a left shift mean on a CBC blood test?

Usually infection: Left shift means slightly pre-mature leukocytes in circulation which is usually due to infection. ...Read more

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I have been having pain in my left side...towards the bottom. Not extremely painful where I cant handle it. So I decided to go get blood work done. My Neauts were high on my CBC??

Need more info: You need to give us the actual value of your neutrophils and the whole CBC including WBC count. It could be due to an infection in the urinary tract. Get your urine checked for infection and see your PCP. ...Read more

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Have a dull pain fullness my left side chest squeezing on lungs & heart beat? Been 5 months and getting worse. Tests should get. Full CBC blood norm

Have a dull pain fullness my left side chest squeezing on lungs & heart beat? Been 5 months and getting worse. Tests should get. Full CBC blood norm

Chest distress: For full evaluation and for peace of mind I recommend an evaluation by a cardiologist since you're also complaining of? Palpitations. My impression is that your symptoms are not heart or lung related, however. Chest wall strain, tension or anxiety are common causes of these complaints. ...Read more

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Pain on right lower side near hip, had hysterectomy left ovaries not an appendicitis. Cbc 2x WBC & platelets low, traces of blood protein in urine?

Pain on right lower side near hip, had hysterectomy left ovaries not an appendicitis. Cbc 2x WBC & platelets low, traces of blood protein in urine?

Uti kidney stone: Not all pain is abdominal. Your history helps and you probably need to see your doctor. If your pain is waxing it could be a stone. Blood in urine too. Urinary tracy infections can also cause blood. Usually an elevated WBC count for both however. A femoral hernia or incisional hernia by physical exam. ...Read more

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What does yeast in a blood smear looks like?

Depends on the yeast: Yeast are smaller than the normal cells found in a blood sample (like white or red blood cells). They can either be rounded in shape, look like long interconnected rods. To help visualize them on a blood smear under the microscope, sometimes special stains are used to help them become more visible. ...Read more

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What is no blast seen means in peripheral blood smear?

What is no blast seen means in peripheral blood smear?

It's a good thing!: Blasts are immature blood cells. They normally grow and mature in the marrow and then the more adult cells are extruded into the blood stream to perform their function. So, not seeing them in the blood film is a good sign we look for when evaluating someone with a blood disorder. ...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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What is the definition or description of: blood smear?

What is the definition or description of: blood smear?

Microscopic Analysis: 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 the blood. Simple huh? ...Read more

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What does it mean to have ovalocytes in a blood smear?

Depends: If hemoglobin level is normal, it does not mean anything. Some hemoglobin variants produce oval rather than perfectly round red cells and then it depends on the type of hemoglobin variant. A few ovalocytes are of no consequence. ...Read more

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I want to know would they do a blood smear for leukemia?

I want to know would they do a blood smear for leukemia?

Maybe: A bone marrow aspirate and biopsy is required to make the diagnosis of leukemia, but often one will look at a periferal smear too, as this can be done quickly, and the marrow pathology will take several days. ...Read more

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Do I have to see a specialist to get a blood smear ordered?

Do I have to see a specialist to get a blood smear ordered?

No: Your doctor can order this test and specify what he/she is looking for or suspicious of certain illness. The pathologist is usually the one who reviews the test and provide answers to your doc! ...Read more

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Does anyone know what it means to have ovalocytes in a blood smear?

Does anyone know what it means to have ovalocytes in a blood smear?

Usually Harmless: Ovalocytes by themselves are harmless. In a hereditary condition ovalocytes may constitue about 25% of red blood cells. Lesser numbers of circulating ovalocytes may be present in various anemias including megaloblastic, sideroblastic, iron deficiency, and in thalassemias. ...Read more

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What does it mean for a blood smear to show moderate polychromasia and moderate Schistocytes? Google doesn't give a good picture. :) Thanks

What does it mean for a blood smear to show moderate polychromasia and moderate Schistocytes? Google doesn't give a good picture. :) Thanks

Worrisome: Look for something fragmenting the red blood cells. If the person isn't obviously sick with disseminated intravascular coagulation or thrombotic thrombocytopenic purpura, perhaps they have an old-fashioned mechanical heart valve. Polychromasia should prompt a search for causes of hemolysis. The pathologist may want to review this slide. Best wishes. ...Read more

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Hi good night... I am a student. I wanted to know what the diagnosis for this patient will be if the blood smear has a lymph count of 65 and mono 21?

Incomplete question: When you submit a question, you must provide enough background information for site docs to review. This includes why the lab was obtained, symptoms, physical findings. You must also submit a concise question that reflects the info submitted. This is not a chat room, so any question must be complete, We do not have access to any previous question or data you upload in a file ...Read more

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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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What does it mean when the result of your peripheral blood smear says that you have mild leukocytosis with absolute neutrophilia?

What does it mean when the result of your peripheral blood smear says that you have mild leukocytosis with absolute neutrophilia?

More neutrophils: It means your overall white cell count is a little elevated, and of those white cells, there are more neutrophils than what is in the "normal" range. This is slightly suggestive of a bacterial infection, but it is far from diagnostic; this is only useful in the setting of signs/symptoms that also suggest infection. It could be primary issues with the blood cells, or even just normal variation. ...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