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Complete Blood
CountPROBLEM BASED LEARNING (PBL)
PREPARED BY: MUHAMMAD ARIFF B. MAHDZUB
BACHELOR MEDICINE AND SURGERY (MBBS)
UNIVERSITY COLLEGE SHAHPUTRA, KUANTAN
Complete Blood Count
• The complete blood count (CBC) is often used as a
broad screening test to determine an individual's
general health status. It can be used to:
• Screen for a wide range of conditions and diseases
• Help diagnose various conditions, such
as anemia, infection, inflammation, bleeding
disorder or leukemia, to name just a few
• Monitor the condition and/or effectiveness of
treatment after a diagnosis is established
• Monitor treatment that is known to affect blood
cells, such as chemotherapy or radiation therapy
TEST FULL NAME LOW VALUE HIGH VALUE
WBC White cell
blood count
Known as leukopenia
Bone marrow disorders or
damage
Autoimmune
conditions
Severe infections (sepsis)
Lymphoma or other cancer
that spread to the bone
marrow
Diseases of immune system
(e.g.,HIV)
Known as leukocytosis
Infection, most
commonly bacterialor viral
Inflammation
Leukemia, myeloproliferative
disorders
Allergies, asthma
Tissue death (trauma,
burns, heart attack)
The normal white blood cell count :
4.0-10.0 x 109/L.
TEST FULL NAME LOW VALUE HIGH VALUE
RBC Red blood cell
count
Known as anemia
Acute or chronic bleeding
RBC destruction
(e.g., hemolytic anemia,
etc.)
Nutritional deficiency
(e.g., iron deficiency,
vitamin B12 or folate
deficiency)
Bone marrow disorders
or damage
Chronic inflammatory
disease
Known as polycythemia
Dehydration
Lung (pulmonary) disease
Kidney or other tumor
that produces excess
erythropoietin
Smoking
Genetic causes (altered
oxygen sensing,
abnormality in
hemoglobin oxygen
release)
The normal red blood cell count:
adult males is 4.5-5.5 x 1012/L
adult female is3.8-4.8 x 1012/L
TEST FULL NAME LOW VALUE HIGH VALUE
PLT Platelet
count
Known as
thrombocytopenia:
Viral infection
(mononucleosis, measles,
hepatitis)
Rocky mountain spotted
fever
Platelet autoantibody
Drugs (acetaminophen,
quinidine, sulfa drugs)
Cirrhosis
Autoimmune disorders
Know as thrombocytosis:
Cancer (lung,
gastrointestinal,breast, ovari
an, lymphoma)
Rheumatoid arthritis,
inflammatory bowel disease,
lupus
Iron deficiency anemia
Hemolytic anemia
platelet count for adults :
150-400 x 109/L.
TEST FULL NAME LOW VALUE HIGH VALUE
MCV Means
corpuscular
vloume
It is average
volume of single
RBC expressed in
cubic micron
Indicates RBCs are
smaller than normal
(microcytic); caused
by iron deficiency
anemia or thalassemias,
for example.
Indicates RBCs are larger
than normal (macrocytic),
for example in anemia
caused by vitamin B12 or
folate deficiency
MCV: 80 to 95 femtoliter
TEST FULL NAME LOW VALUE HIGH VALUE
MCH Mean
corpuscular
heamoglobin
It is average
amount of Hb
in single RBC
express in
picogram
Mirrors MCV results; small
red cells would have a
lower value.
Mirrors MCV results;
macrocytic RBCs are
large so tend to have a
higher MCH.
MCH: 27 to 31 pg/cell
TEST FULL NAME LOW VALUE HIGH VALUE
MCHC mean corpuscular Hb
concentration
May be low when MCV is
low; decreased MCHC
values (hypochromia) are
seen in conditions such
as iron deficiency anemia
and thalassemia.
Increased MCHC values
(hyperchromia) are
seen in conditions
where the hemoglobin
is more concentrated
inside the red cells,
such as autoimmune
hemolytic anemia, in
burn patients, and
hereditary
spherocytosis, a rare
congenital disorder.
MCHC: 32 to 36 gm/dL

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Complete blood count

  • 1. 1 Complete Blood CountPROBLEM BASED LEARNING (PBL) PREPARED BY: MUHAMMAD ARIFF B. MAHDZUB BACHELOR MEDICINE AND SURGERY (MBBS) UNIVERSITY COLLEGE SHAHPUTRA, KUANTAN
  • 3. • The complete blood count (CBC) is often used as a broad screening test to determine an individual's general health status. It can be used to: • Screen for a wide range of conditions and diseases • Help diagnose various conditions, such as anemia, infection, inflammation, bleeding disorder or leukemia, to name just a few • Monitor the condition and/or effectiveness of treatment after a diagnosis is established • Monitor treatment that is known to affect blood cells, such as chemotherapy or radiation therapy
  • 4. TEST FULL NAME LOW VALUE HIGH VALUE WBC White cell blood count Known as leukopenia Bone marrow disorders or damage Autoimmune conditions Severe infections (sepsis) Lymphoma or other cancer that spread to the bone marrow Diseases of immune system (e.g.,HIV) Known as leukocytosis Infection, most commonly bacterialor viral Inflammation Leukemia, myeloproliferative disorders Allergies, asthma Tissue death (trauma, burns, heart attack) The normal white blood cell count : 4.0-10.0 x 109/L.
  • 5. TEST FULL NAME LOW VALUE HIGH VALUE RBC Red blood cell count Known as anemia Acute or chronic bleeding RBC destruction (e.g., hemolytic anemia, etc.) Nutritional deficiency (e.g., iron deficiency, vitamin B12 or folate deficiency) Bone marrow disorders or damage Chronic inflammatory disease Known as polycythemia Dehydration Lung (pulmonary) disease Kidney or other tumor that produces excess erythropoietin Smoking Genetic causes (altered oxygen sensing, abnormality in hemoglobin oxygen release) The normal red blood cell count: adult males is 4.5-5.5 x 1012/L adult female is3.8-4.8 x 1012/L
  • 6. TEST FULL NAME LOW VALUE HIGH VALUE PLT Platelet count Known as thrombocytopenia: Viral infection (mononucleosis, measles, hepatitis) Rocky mountain spotted fever Platelet autoantibody Drugs (acetaminophen, quinidine, sulfa drugs) Cirrhosis Autoimmune disorders Know as thrombocytosis: Cancer (lung, gastrointestinal,breast, ovari an, lymphoma) Rheumatoid arthritis, inflammatory bowel disease, lupus Iron deficiency anemia Hemolytic anemia platelet count for adults : 150-400 x 109/L.
  • 7. TEST FULL NAME LOW VALUE HIGH VALUE MCV Means corpuscular vloume It is average volume of single RBC expressed in cubic micron Indicates RBCs are smaller than normal (microcytic); caused by iron deficiency anemia or thalassemias, for example. Indicates RBCs are larger than normal (macrocytic), for example in anemia caused by vitamin B12 or folate deficiency MCV: 80 to 95 femtoliter
  • 8. TEST FULL NAME LOW VALUE HIGH VALUE MCH Mean corpuscular heamoglobin It is average amount of Hb in single RBC express in picogram Mirrors MCV results; small red cells would have a lower value. Mirrors MCV results; macrocytic RBCs are large so tend to have a higher MCH. MCH: 27 to 31 pg/cell
  • 9. TEST FULL NAME LOW VALUE HIGH VALUE MCHC mean corpuscular Hb concentration May be low when MCV is low; decreased MCHC values (hypochromia) are seen in conditions such as iron deficiency anemia and thalassemia. Increased MCHC values (hyperchromia) are seen in conditions where the hemoglobin is more concentrated inside the red cells, such as autoimmune hemolytic anemia, in burn patients, and hereditary spherocytosis, a rare congenital disorder. MCHC: 32 to 36 gm/dL