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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Reason For Low RBC Levels In A 94 Yr Old Suffering From Venous Stasis, Hypertension Etc.,?

Hello, I am a nursing student and my patient is a 94 year old female with Venous stasis, hypertension, valvular heart disease, severe aortic insufficiency, mod-severe MR, severe peripheral vascular disease, SIADH with chronic hyponatremia, thoracic aortic aneurysm, stress incontinence, and a history of left superficial femoral PTCA. Her RBC s are low and I can t pinpoint as to exactly why because she doesn t have anemia. Please help
posted on Sat, 1 Mar 2014
Twitter Fri, 14 Mar 2014 Answered on
Twitter Fri, 14 Mar 2014 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

The only cause of low RBC count in the absence of anemia is volume overload. RBC count done on a diluted blood will obviously show low RBC count/cumm of blood. Other cause can be age-related marrow hypoplasia.

I suggest that you get her Peripheral Blood smear examination done to detect hematopoietic abnormality.

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Take care

Dr. Rakesh Karanwal
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What Could Be The Reason For Low RBC Levels In A 94 Yr Old Suffering From Venous Stasis, Hypertension Etc.,?

Hi there, Thanks for your query. The only cause of low RBC count in the absence of anemia is volume overload. RBC count done on a diluted blood will obviously show low RBC count/cumm of blood. Other cause can be age-related marrow hypoplasia. I suggest that you get her Peripheral Blood smear examination done to detect hematopoietic abnormality. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal