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What Does This Peripheral Blood Smear Examination Report Indicate?

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Posted on Fri, 24 Jun 2016
Question: What does it means when peripheral blood smear examination show the results as " Predominantly normocytic normochromic RBCs.
Macrocytes + ,
TLC and DLC are within normal limits.
Platlets are adequate.
No Hemoparasites seen.
doctor
Answered by Dr. Anil Parth Desai (25 minutes later)
Brief Answer:
Hi I would recommend the following.

Detailed Answer:
Dear sir,
thank you for your query. your peripheral smear examination seems to be normal to me. occasional macrocytes can be normally seen or may be seen in early part of vitamin b12 deficiency or folic acid deficiency or other conditions.
However to know better I would like to see the hemogram report that includes a hemoglobin level and RBC indices value if available. I can then give you the best next steps to be taken. overall there is nothing more to worry. please do upload the reports if you have them
I hope this helps sir.
Do let me know if you have any other concerns sir.
sincerely,
Dr Parth Desai
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Anil Parth Desai (40 hours later)
My fresh hemogram report (dated16.05.2016) is
Hb 11.6 gms%
TLC 8830
DLC
Polymorph 66%
Lymphocytes 29%
Monocytes. 01%
Eosinophils. 04%
Basophils. 00
Platlets count 1.50 cmm
Hematocrit PCV 36.88%

RBC's count 4.23 /uL
M.C.V. 87.13 fL
MCH. 27.41 pg
M.C.H.C. 31.45 g/dL

ESR. 30mm/Ist Hrs
My kindly consider it & advice
However I would like to give a brief history of my treatment between 28.04.2016 to date
Farobact 200 mg & Derephylline ..for pulmonary infection as per X-ray. 28.04 to 05.05.2016
Thereafter from 05.05.2016 11.05.2016
I was treated for ESR(42mm/1st hour as on 28th April) with:
Levoflox 750 mg, PCM, etc
Now I am not taking any medication
doctor
Answered by Dr. Anil Parth Desai (2 hours later)
Brief Answer:
Hi I would recommend the following.

Detailed Answer:
Dear sir
Thank you for your reply.
Most of your hemogram findings are normal. The hemoglobin levels are slightly low. This may very well be due to recent infection that you had also known as anemia of inflammation. Another important test I would like to advice is stool for occult blood to rule out any mild gastrointestinal bleeding.
A repeat hemogram with ESR is needed after about a month to see if hemoglobin is falling or rising as you recover from recent infection. If it is falling further tests may be warranted.
I hope this helps sir.
let me know if you have any other concern sir.
sincerely

Dr Parth Desai
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Anil Parth Desai

Pathologist and Microbiologist

Practicing since :2009

Answered : 593 Questions

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What Does This Peripheral Blood Smear Examination Report Indicate?

Brief Answer: Hi I would recommend the following. Detailed Answer: Dear sir, thank you for your query. your peripheral smear examination seems to be normal to me. occasional macrocytes can be normally seen or may be seen in early part of vitamin b12 deficiency or folic acid deficiency or other conditions. However to know better I would like to see the hemogram report that includes a hemoglobin level and RBC indices value if available. I can then give you the best next steps to be taken. overall there is nothing more to worry. please do upload the reports if you have them I hope this helps sir. Do let me know if you have any other concerns sir. sincerely, Dr Parth Desai