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“Abasic screening test that
 evaluates the cells that
 circulate in blood.”


A complete blood count (CBC),
  also known as full blood
  count (FBC) or full blood
  exam (FBE) or blood panel.
Screen for a wide range
of conditions and                     Help diagnose various conditions, such
                                      as anemia ,infection,
diseases                              inflammation, bleeding disorder
                                      or leukemia etc




                                   Monitor treatment that is known to
Monitor the condition and/or       affect blood cells, such as
effectiveness of treatment after   chemotherapy or radiation therapy
a diagnosis is established
• A CBC is a panel of
  tests that evaluates the
  three types of cells that
  circulate in the blood
  and includes the
  following:

Evaluation of white
 blood cells

Evaluation of red blood
 cells

Evaluation of platelets
• White blood cell (WBC)
  count is a count of the total
  number of white blood cells in a
  person's sample of blood.  All
  the white cell types are given as
  a percentage and as an absolute
  number per litre.

• White blood cell
  differential
 may or may not be included as part of
 the panel of tests. It identifies and
 counts the number of the various
 types of white blood cells present. The
 five types
 include neutrophils, lymphocytes,mon
 ocytes, eosinophils, and basophils.
WBC:
4,000 – 10,000/cubicmm

WBC
DIFFERENTIAL:
    Neutrophil  40-75%
    Lymphocytes 15-75%
    Monocytes   1-10%
    Eosinophils 1-6%
    Basophils   0-2%
Full examples of                examples of
Test        causes of a low              causes of a
       Name count                        high count
WBC      White   Known as leukopenia     Known as
       Blood     or damage               leukocytosis
       Cell
       Count                             •infections most
                 •Autoimmune
                 conditions              commonly
                 •Severe infections      bacterial or viral
                 (sepsis)                •Leukemia,
                 •lymphoma or other      myeloproliferativ
                 cancer that spread to   e disorders
                 the bone marrow         •inflammation
                 •Diseases of immune     •Allergies ,
                 system (e.g., HIV)      Asthma
                                         •Tissue death
                                         (trauma,
                                         burns, heart
                                         attack)
                                         •Intense exercise
                                         or severe stress
Test    Full   Name       examples of causes of   examples of causes
                          a low count             of a high count

Neu,    Absolute neutro   Known as neutropenia    Known as
PMN,    phil count, %     •Severe,over whelming   neutrophilia
polys   neutrophils       infection (sepsis)      •Acute bacterial
                          •Autoimmune             infections
                          disorders               •Inflammation
                          •Reaction to drugs,     •Tissue death
                          chemotherapy            (necrosis) caused
                          •Immunodeficiency       by trauma, heart
                          •Bone marrow damage     attack, burns
                          (e.g., chemotherapy,    •leukemia
                          radiation therapy)




eos     Absolute eosino    not medically          Parasitic
        phil              significant.            infections,
        count, %                                  asthma,allergic
        eosinophils                               reaction.

baso    Absolute basoph   not medically           bone marrow
        il count, %       significant             related conditions
        basophils                                 such as leukemia or
                                                  lymphoma
TEST     Full   Name       examples of              examples of
                           causes of a low          causes of a high
                           count                    count
mono     Absolute monocy   not medically            bacterial infection,
         te                significant.             tuberculosis,
         count, %                                   malaria, monocytic
         monocytes                                  leukemia


lympho   Absolute          Known as                 Known as
         Lymphocyte        lymphocytopenia          lymphocytosis
         count, %          •Autoimmune              •Acute viral
         lymphocytes       disorders                infections
                           (e.g., lupus rheumat     (e.g., chicken
                           oid arthritis)           pox,cytomegaloviru
                           •Infections (e.g.,       s (CMV), Epstein-
                           HIV, viral hepatitis ,   Barr virus
                           typhoid                  (EBV),herpes)
                           fever, influenza)        •Certain bacterial
                           •Bone marrow             infections
                           damage (e.g.,            (e.g. tuberculosis
                           chemotherapy,            •Lymphocytic
                           radiation therapy)       leukemia,
                           •Corticosteroids         lymphoma
                                                    •Stress (acute)
 Red blood cell (RBC) count is a count
   of the actual number of red blood cells in a person's
   sample of blood.
 Hemoglobin measures the amount of the oxygen-
   carrying protein in the blood.
 Hematocrit measures the percentage of a person's
   blood that consists of red blood cells.
 Red blood cell indices are
   calculations that provide information on the physical
   characteristics of the RBCs:
    • (RDW), which may be included in a CBC, is a
        calculation of the variation in the size of RBCs.
    •    Mean corpuscular volume
        (MCV) is a measurement of the average size of
        RBCs.
    • Mean corpuscular hemoglobin
        is a calculation of the average amount of oxygen-
        carrying hemoglobin inside a red blood cell.
    • Mean corpuscular hemoglobin
      concentration (MCHC) is a
        calculation of the average percentage of hemoglobin
        inside a red cell.
     reticulocyte count which is a
        measurement of the absolute count or percentage of
        young red blood cells in blood.
examples of causes of     examples of causes of
Test   Full Name
                    low result                high result
RBC    Red Blood    Known as anemia           Known as polycythemia
       Cell Count   •Acute or chronic         • Dehydration
                    bleeding                  •Pulmonary disease
                    •RBC destruction          •Kidney or other tumor
                    (e.g.hemolytic            that produces excess
                    anemia,etc.)              erythropoietin
                    •Nutritional deficiency   •Smoking
                    (e.g., iron deficiency,   •Genetic causes (altered
                    vitamin B12 or folate     oxygen sensing,
                    deficiency)               abnormality in
                    •Bone marrow disorders    hemoglobin oxygen
                    or damage                 release)
                    •Chronic inflammatory
                    disease
                    •Kidney failure

                    Usually mirrors RBC
                                              Usually mirrors RBC
Hb     Hemoglobin   results, provides added
                                              results
                    information



                                              Usually mirrors RBC
                    Usually mirrors RBC
Hct    Hematocrit                             results; most common
                    results
                                              cause is dehydration
examples of causes of
Test                                         examples of causes of
       Full Name   low result
                                             high result

                   Indicates RBCs are        Indicates RBCs are
                   smaller than normal       larger than normal
       Mean
                   (microcytic); caused      (macrocytic), for
MCV    Corpuscul
                   by iron deficiency        example in anemia
       ar Volume
                   anemia or thalassemia,    caused by folate or vit
                   for example.              B12 deficiency

       Mean
                                             Mirrors MCV results;
       Corpuscul Mirrors MCV results;
                                             macrocytic RBCs are
MCH    ar        small red cells would
                                             large so tend to have a
       Hemoglobi have a lower value.
                                             higher MCH.
       n

                                             Increased MCHC values
                                             (hyperchromia) are
                                             seen in conditions
       Mean        May be low when MCV is
                                             where the hemoglobin
       Corpuscul   low; decreased MCHC
                                             is more concentrated
       ar          values (hypochromia)
                                             inside the red cells,
MCHC   Hemoglobi   are seen in conditions
                                             such as autoimmune
       n           such as iron deficiency
                                             hemolytic anemia, in
       Concentra   anemia and
                                             burn patients, and
       tion        thalassemia.
                                             hereditary
                                             spherocytosis, a rare
                                             congenital disorder.
Test        Full      Examples of causes of     Examples of causes of
            Name      low result                high result
                                                Indicates mixed
                                                population of small and
                                                large RBCs; immature
                                                RBCs tend to be larger.
                                                For example, in iron
            RBC
                      Low value indicates       deficiency anemia or
            Distrib
RDW                   uniformity in size of     pernicious anemia,
            ution
                      RBCs                      there is high variation
            Width
                                                (anisocytosis) in RBC
                                                size (along with
                                                variation in shape –
                                                poikilocytosis), causing
                                                an increase in the RDW.

                                                In the setting of anemia,
                    In the setting of anemia,
                                                a high reticulocyte
                    a low reticulocyte count
            Reticul                             count generally
                    indicates a condition is
            ocytes                              indicates peripheral
                    affecting the production
Reticuloc   (absol                              cause, such as bleeding
                    of red blood cells, such
yte count   ute                                 or  hemolysis, or
                    as bone marrow
            count                               response to treatment
                    disorder or damage, or a
            or %)                               (e.g., iron
                    nutritional deficiency
                                                supplementation for
                    (iron, B12 or folate)
                                                iron deficiency anemia)
The platelet count is
 the number of platelets in a
 person's sample of blood.
Mean platelet
 volume (MPV) may be
 reported with a CBC. It is a
 calculation of the average size
 of platelets.
Platelet distribution
 width (PDW) may also
 be reported with a CBC. It is
 a measurement of the
 variation of platelet size.
• Platelet count :
  140,000 to
  450,000 /cubic mm
• Mean platelet
  volume: 7.5 – 11.5 fL
• Platelet
  distribution width:
                  10% -
  17.9%
Full       examples of causes of     examples of causes of
Test
       Name       low result                high result

plt    Platelet   Known as                  Know as
       Count      thrombocytopenia:         thrombocytosis:
                  •Viral infection          •Cancer (lung,
                  (mononucleosis,hepatiti   gastrointestinal,lymp
                  s)                        homa)
                  •Rocky mountain spotted   •Rheumatoid arthritis,
                  fever                     inflammatory bowel
                  •Platelet autoantibody    disease, lupus
                  •Drugs (acetaminophen,    •Iron deficiency
                  quinidine, sulfa drugs)   anemia
                  •cirrhosis                •Hemolytic anemia
                  •Autoimmune disorders     •Myeloproliferative
                  •Sepsis                   disorder (e.g.,
                  •Leukemia, lymphoma       essential
                  •Myelodysplasia           thrombocythemia)
                  •Chemo or radiation
                  therapy
Test   Full     Examples of causes     Examples of causes of high
       Name     of low result          result

                Indicates average
                size of platelets
                 is small; older
                platelets are
                                       Indicates a high number
                generally
                                       of larger, younger platelets
                smaller than
       Mean                             in the blood; this may be
                younger ones
MPV    Platelet                        due to the bone marrow
                 and a low MPV may
       Volume                          producing and releasing
                mean
                                       platelets rapidly into
                that a condition is
                                        circulation.
                affecting the
                 production of
                platelets
                 by the bone marrow.


                Indicates uniformity
                                       Indicates increased
       Platelet in
                                       variation in the size of the
       Distrib   size of platelets
PDW                                    platelets, which may mean
       ution
                                       that a condition is present
       Width
                                       that is affecting platelets
Reviewing clinical laboratory test
 results about a patient's condition can
 provide valuable information for

Diagnosis and management of
 orofacial conditions

Guidance on assessing the patient's
 ability to tolerate the proposed dental
 treatment

A prognosis based on a particular
 treatment
EVALUATION OF WBC
• when a patient is being treated with a
  medication that suppresses WBC
  production (such as antineoplastic
  agents), the patient is at a greater
  risk for postoperative infection, and
  dental treatment should be deferred
  until the WBC result is back to
  normal.


•    For  invasive dental treatment,
    perioperative antibiotics are
    indicated in patients with ANC
    less than 1,000 cells/mm3 in
    order to minimize the risk of
    infection. When the ANC falls
    below 500 cells/mm3,
    intravenous antimicrobial
    therapy may be necessary to
    prevent sepsis resulting from
    invasive dental treatment.
EVALUATION OF RBC
• Patients with polycythemia
  may experience orthopnea in
  the dental chair, dizziness,
  headache, red facial coloring,
  and dyspnea.
• Hgb and Hct are necessary
  parts of the assessment for
  anemias and in patients with
  burning mouth disorders and
  aphthous stomatitis.
• Differ routine dental
  treatment in Patient with
  severe anemia
EVALUATION OF
  PLATELETS
• Bleeding disorders or bone
  marrow diseases, such
  healthcare provider to
  determine as leukemia,
  require the dental the
  number of platelets
  present and/or their
  ability to function
  correctly prior to invasive
  surgery.
• Minor dentistry: counts
  should be greater than
  50,000/cubicmm
Complete blood count and its importance in dentistry

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Complete blood count and its importance in dentistry

  • 1.
  • 2. “Abasic screening test that evaluates the cells that circulate in blood.” A complete blood count (CBC), also known as full blood count (FBC) or full blood exam (FBE) or blood panel.
  • 3. Screen for a wide range of conditions and Help diagnose various conditions, such as anemia ,infection, diseases inflammation, bleeding disorder or leukemia etc Monitor treatment that is known to Monitor the condition and/or affect blood cells, such as effectiveness of treatment after chemotherapy or radiation therapy a diagnosis is established
  • 4. • A CBC is a panel of tests that evaluates the three types of cells that circulate in the blood and includes the following: Evaluation of white blood cells Evaluation of red blood cells Evaluation of platelets
  • 5. • White blood cell (WBC) count is a count of the total number of white blood cells in a person's sample of blood.  All the white cell types are given as a percentage and as an absolute number per litre. • White blood cell differential may or may not be included as part of the panel of tests. It identifies and counts the number of the various types of white blood cells present. The five types include neutrophils, lymphocytes,mon ocytes, eosinophils, and basophils.
  • 6. WBC: 4,000 – 10,000/cubicmm WBC DIFFERENTIAL: Neutrophil 40-75% Lymphocytes 15-75% Monocytes 1-10% Eosinophils 1-6% Basophils 0-2%
  • 7. Full examples of examples of Test causes of a low causes of a Name count high count WBC White Known as leukopenia Known as Blood or damage leukocytosis Cell Count •infections most •Autoimmune conditions commonly •Severe infections bacterial or viral (sepsis) •Leukemia, •lymphoma or other myeloproliferativ cancer that spread to e disorders the bone marrow •inflammation •Diseases of immune •Allergies , system (e.g., HIV) Asthma •Tissue death (trauma, burns, heart attack) •Intense exercise or severe stress
  • 8. Test Full Name examples of causes of examples of causes a low count of a high count Neu, Absolute neutro Known as neutropenia Known as PMN, phil count, % •Severe,over whelming neutrophilia polys neutrophils infection (sepsis) •Acute bacterial •Autoimmune infections disorders •Inflammation •Reaction to drugs, •Tissue death chemotherapy (necrosis) caused •Immunodeficiency by trauma, heart •Bone marrow damage attack, burns (e.g., chemotherapy, •leukemia radiation therapy) eos Absolute eosino  not medically Parasitic phil significant. infections, count, % asthma,allergic eosinophils reaction. baso Absolute basoph not medically bone marrow il count, % significant related conditions basophils such as leukemia or lymphoma
  • 9. TEST Full Name examples of examples of causes of a low causes of a high count count mono Absolute monocy not medically bacterial infection, te  significant. tuberculosis, count, % malaria, monocytic monocytes leukemia lympho Absolute  Known as Known as Lymphocyte lymphocytopenia lymphocytosis count, % •Autoimmune •Acute viral lymphocytes disorders infections (e.g., lupus rheumat (e.g., chicken oid arthritis) pox,cytomegaloviru •Infections (e.g., s (CMV), Epstein- HIV, viral hepatitis , Barr virus typhoid (EBV),herpes) fever, influenza) •Certain bacterial •Bone marrow infections damage (e.g., (e.g. tuberculosis chemotherapy, •Lymphocytic radiation therapy) leukemia, •Corticosteroids lymphoma •Stress (acute)
  • 10.
  • 11.  Red blood cell (RBC) count is a count of the actual number of red blood cells in a person's sample of blood.  Hemoglobin measures the amount of the oxygen- carrying protein in the blood.  Hematocrit measures the percentage of a person's blood that consists of red blood cells.  Red blood cell indices are calculations that provide information on the physical characteristics of the RBCs: • (RDW), which may be included in a CBC, is a calculation of the variation in the size of RBCs. • Mean corpuscular volume (MCV) is a measurement of the average size of RBCs. • Mean corpuscular hemoglobin is a calculation of the average amount of oxygen- carrying hemoglobin inside a red blood cell. • Mean corpuscular hemoglobin concentration (MCHC) is a calculation of the average percentage of hemoglobin inside a red cell.  reticulocyte count which is a measurement of the absolute count or percentage of young red blood cells in blood.
  • 12.
  • 13. examples of causes of examples of causes of Test Full Name low result high result RBC Red Blood Known as anemia Known as polycythemia Cell Count •Acute or chronic • Dehydration bleeding •Pulmonary disease •RBC destruction •Kidney or other tumor (e.g.hemolytic that produces excess anemia,etc.) erythropoietin •Nutritional deficiency •Smoking (e.g., iron deficiency, •Genetic causes (altered vitamin B12 or folate oxygen sensing, deficiency) abnormality in •Bone marrow disorders hemoglobin oxygen or damage release) •Chronic inflammatory disease •Kidney failure Usually mirrors RBC Usually mirrors RBC Hb Hemoglobin results, provides added results information Usually mirrors RBC Usually mirrors RBC Hct Hematocrit results; most common results cause is dehydration
  • 14. examples of causes of Test examples of causes of Full Name low result high result Indicates RBCs are Indicates RBCs are smaller than normal larger than normal Mean (microcytic); caused (macrocytic), for MCV Corpuscul by iron deficiency example in anemia ar Volume anemia or thalassemia, caused by folate or vit for example. B12 deficiency Mean Mirrors MCV results; Corpuscul Mirrors MCV results; macrocytic RBCs are MCH ar small red cells would large so tend to have a Hemoglobi have a lower value. higher MCH. n Increased MCHC values (hyperchromia) are seen in conditions Mean May be low when MCV is where the hemoglobin Corpuscul low; decreased MCHC is more concentrated ar values (hypochromia) inside the red cells, MCHC Hemoglobi are seen in conditions such as autoimmune n such as iron deficiency hemolytic anemia, in Concentra anemia and burn patients, and tion thalassemia. hereditary spherocytosis, a rare congenital disorder.
  • 15. Test Full Examples of causes of Examples of causes of Name low result high result Indicates mixed population of small and large RBCs; immature RBCs tend to be larger. For example, in iron RBC Low value indicates deficiency anemia or Distrib RDW uniformity in size of pernicious anemia, ution RBCs there is high variation Width (anisocytosis) in RBC size (along with variation in shape – poikilocytosis), causing an increase in the RDW. In the setting of anemia, In the setting of anemia, a high reticulocyte a low reticulocyte count Reticul count generally indicates a condition is ocytes indicates peripheral affecting the production Reticuloc (absol cause, such as bleeding of red blood cells, such yte count ute or  hemolysis, or as bone marrow count response to treatment disorder or damage, or a or %) (e.g., iron nutritional deficiency supplementation for (iron, B12 or folate) iron deficiency anemia)
  • 16.
  • 17. The platelet count is the number of platelets in a person's sample of blood. Mean platelet volume (MPV) may be reported with a CBC. It is a calculation of the average size of platelets. Platelet distribution width (PDW) may also be reported with a CBC. It is a measurement of the variation of platelet size.
  • 18. • Platelet count : 140,000 to 450,000 /cubic mm • Mean platelet volume: 7.5 – 11.5 fL • Platelet distribution width: 10% - 17.9%
  • 19. Full examples of causes of examples of causes of Test Name low result high result plt Platelet Known as Know as Count thrombocytopenia: thrombocytosis: •Viral infection •Cancer (lung, (mononucleosis,hepatiti gastrointestinal,lymp s) homa) •Rocky mountain spotted •Rheumatoid arthritis, fever inflammatory bowel •Platelet autoantibody disease, lupus •Drugs (acetaminophen, •Iron deficiency quinidine, sulfa drugs) anemia •cirrhosis •Hemolytic anemia •Autoimmune disorders •Myeloproliferative •Sepsis disorder (e.g., •Leukemia, lymphoma essential •Myelodysplasia thrombocythemia) •Chemo or radiation therapy
  • 20. Test Full Examples of causes Examples of causes of high Name of low result result Indicates average size of platelets is small; older platelets are Indicates a high number generally of larger, younger platelets smaller than Mean in the blood; this may be younger ones MPV Platelet due to the bone marrow and a low MPV may Volume producing and releasing mean platelets rapidly into that a condition is circulation. affecting the production of platelets by the bone marrow. Indicates uniformity Indicates increased Platelet in variation in the size of the Distrib size of platelets PDW platelets, which may mean ution that a condition is present Width that is affecting platelets
  • 21.
  • 22.
  • 23. Reviewing clinical laboratory test results about a patient's condition can provide valuable information for Diagnosis and management of orofacial conditions Guidance on assessing the patient's ability to tolerate the proposed dental treatment A prognosis based on a particular treatment
  • 24. EVALUATION OF WBC • when a patient is being treated with a medication that suppresses WBC production (such as antineoplastic agents), the patient is at a greater risk for postoperative infection, and dental treatment should be deferred until the WBC result is back to normal. •  For invasive dental treatment, perioperative antibiotics are indicated in patients with ANC less than 1,000 cells/mm3 in order to minimize the risk of infection. When the ANC falls below 500 cells/mm3, intravenous antimicrobial therapy may be necessary to prevent sepsis resulting from invasive dental treatment.
  • 25. EVALUATION OF RBC • Patients with polycythemia may experience orthopnea in the dental chair, dizziness, headache, red facial coloring, and dyspnea. • Hgb and Hct are necessary parts of the assessment for anemias and in patients with burning mouth disorders and aphthous stomatitis. • Differ routine dental treatment in Patient with severe anemia
  • 26. EVALUATION OF PLATELETS • Bleeding disorders or bone marrow diseases, such healthcare provider to determine as leukemia, require the dental the number of platelets present and/or their ability to function correctly prior to invasive surgery. • Minor dentistry: counts should be greater than 50,000/cubicmm