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What Does This Blood Test Report Mean?

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Posted on Sat, 12 Sep 2015
Question: Please what does this blood test report mean?

Hgb 17.7g/dl
Pcv 45.10%
Mcv 74.4fl
Mch 29.1pg
Mchc 39.3g/dl
Lymphocyte 40.00%
Neutrophil 51.80%
Mid cells 8.40%
Platelets 186x10^9/L
RBC 6.18x10^12/L
WBC 6.4x10^9/L
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
polycythemia, beta thalassemia trait, hypoxic erythrocytosis

Detailed Answer:
HI, thanks for using healthcare magic

The hemoglobin is just slightly above the normal range according to most labs though there is inter lab variability.
Usual upper limit is approx 17.

The mcv is normal and the mchc just above. The rdw (red cell distribution width) is not seen and this is also important.
The mchc and mch are not used as commonly for interpretation now as compared to the mcv and rdw

Erythrocytosis refers to an increase in hemoglobin or hematocrit (PCV/hct).

Microcytosis refers to a decrease in mcv

There are 3 main causes of microcytic erythrocytosis (decrease mcv with elevated hb or pcv)- (1) polycythemia

(2)beta thalassemia trait

(3)hypoxic erythrocytosis eg in persons with COPD , living at high altitude, heart disease, exposure to carbon monoxide

This causes stimulation of the body to make more red blood cells. If any of these is present then it is the likely cause

Determining your blood type can determine if the beta thalassemia trait is present, this is called hemoglobin electrophoresis and is a simple blood test

I hope this helps , feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (14 minutes later)
Thank you for your quick response Doc. From this result does these mean this is an sign of heart disease? I am a little bit confused. Please explain. Thanks
doctor
Answered by Dr. Michelle Gibson James (17 minutes later)
Brief Answer:
heart disease not likely unless symptoms present

Detailed Answer:
HI

No, these results do not indicate that you have heart disease. Heart disease is one possible cause but not the only cause.
Heart disease would normally be associated with symptoms such as chest pain, shortness of breath, palpitations or there may be history of congenital heart disease.

If you do not have any of these symptoms then you do not have heart disease.

The other possible causes would be: (1) beta thalassemia trait- this is a condition where there is a change in the production of hemoglobin (the part of the blood that carries oxygen).
In persons with only the trait, there may be no symptoms or problems at all

A blood test can determine if this is present

(2)polycytemia vera- increased amount of hemoglobin (part of the blood that carries oxygen) in the blood

(3)COPD, living at a high altitude, exposure to carbon monoxide can also do this

Summary: (1) heart disease not likely unless there are symptoms of heart disease present
(2) beta thalassemia, COPD, living at high altitudes, exposure to carbon monoxide (by smoking or working with a car in a closed environment)

Please feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (3 minutes later)
Thanks for ur help Doc
doctor
Answered by Dr. Michelle Gibson James (15 minutes later)
Brief Answer:
ok

Detailed Answer:
HI

No prob

Can contact if have any additional queries
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Does This Blood Test Report Mean?

Brief Answer: polycythemia, beta thalassemia trait, hypoxic erythrocytosis Detailed Answer: HI, thanks for using healthcare magic The hemoglobin is just slightly above the normal range according to most labs though there is inter lab variability. Usual upper limit is approx 17. The mcv is normal and the mchc just above. The rdw (red cell distribution width) is not seen and this is also important. The mchc and mch are not used as commonly for interpretation now as compared to the mcv and rdw Erythrocytosis refers to an increase in hemoglobin or hematocrit (PCV/hct). Microcytosis refers to a decrease in mcv There are 3 main causes of microcytic erythrocytosis (decrease mcv with elevated hb or pcv)- (1) polycythemia (2)beta thalassemia trait (3)hypoxic erythrocytosis eg in persons with COPD , living at high altitude, heart disease, exposure to carbon monoxide This causes stimulation of the body to make more red blood cells. If any of these is present then it is the likely cause Determining your blood type can determine if the beta thalassemia trait is present, this is called hemoglobin electrophoresis and is a simple blood test I hope this helps , feel free to ask any other questions