Your Blood Test Results: Key Abnormal Values Explained - Internal Medicine

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Blood Test Report


Hello Doctor, here are my blood test results.
There are several abnormal values that I would like your help in analyzing:
- WBC: 8.95 x 10^3/µL
- RBC: 4.56 x 10^6/µL
- HGB: 14.3 g/dL
- HCT: 43.3%
- MCV: 95.0 fL
- MCH: 31.4 pg
- MCHC: 33.0 g/dL
- Platelet: 166 x 10^3/µL
- MPV: 11.0 fL (hospital indicates high)
- RDW: 12.9%
- N-seg: 81.1% (hospital indicates high)
- Lymph: 9.8% (hospital indicates low)
- Mono: 8.6%
- Eosin: 0.3% (hospital indicates low)
- Baso: 0.2%
This is the blood test report.
Thank you for your assistance, Doctor.

W, 20~29 year old female. Ask Date: 2020/02/07

Dr. Hong Yuanbin reply Internal Medicine


Hello, the normal range for Mean Platelet Volume (MPV) in males is approximately 8.8-12.2.
Your value falls below the normal range by three units.
We will consider this alongside the white blood cell count and clinical symptoms.
N-seg is at 81.1% (which is indicated as elevated by the hospital), Lymph is at 9.8% (indicated as low by the hospital), and Eosin is at 0.3% (also indicated as low by the hospital).
Your white blood cell count is normal, and if you do not have any specific discomfort, this can be regarded as potentially within the physiological normal range.
Thank you for your inquiry.

Reply Date: 2020/02/07

More Info


Understanding blood test results can be quite complex, especially when several values fall outside the normal range. In your report, several key parameters are highlighted as abnormal, and I will explain what these values might indicate.

1. WBC (White Blood Cells): Your WBC count is 8.95 x 10^3/uL, which is within the normal range (typically 4.5 to 11.0 x 10^3/uL). This indicates that your immune system is functioning normally, as WBCs are crucial for fighting infections.

2. RBC (Red Blood Cells): Your RBC count is 4.56 x 10^6/uL, which is also within the normal range (approximately 4.2 to 5.9 x 10^6/uL for men and 3.9 to 5.2 x 10^6/uL for women). This suggests that your body is producing an adequate number of red blood cells to transport oxygen.

3. HGB (Hemoglobin): At 14.3 g/dL, your hemoglobin level is normal (typically 13.5 to 17.5 g/dL for men and 12.0 to 15.5 g/dL for women). Hemoglobin is essential for oxygen transport in the blood.

4. HCT (Hematocrit): Your hematocrit level is 43.3%, which is within the normal range (about 38.3% to 48.6% for men and 35.5% to 44.9% for women). This indicates a healthy proportion of red blood cells in your blood.

5. MCV (Mean Corpuscular Volume): At 95.0 fL, your MCV is normal (typically 80 to 100 fL). This value reflects the average size of your red blood cells.

6. MCH (Mean Corpuscular Hemoglobin): Your MCH is 31.4 pg, which is also within the normal range (27 to 31 pg). This indicates the average amount of hemoglobin per red blood cell.

7. MCHC (Mean Corpuscular Hemoglobin Concentration): At 33.0 g/dL, this value is normal (typically 32 to 36 g/dL). It reflects the concentration of hemoglobin in a given volume of red blood cells.

8. Platelet Count: Your platelet count is 166 x 10^3/uL, which is on the lower end of the normal range (150 to 400 x 10^3/uL). While this is not alarming, it is worth monitoring, as platelets are crucial for blood clotting.

9. MPV (Mean Platelet Volume): At 11.0 fL, this value is considered high. MPV indicates the average size of platelets; larger platelets may be younger and more reactive, which can be associated with various conditions, including inflammation or bone marrow activity.

10. RDW (Red Cell Distribution Width): Your RDW is 12.9%, which is within the normal range (11.5% to 14.5%). This indicates uniformity in red blood cell size.

11. N-seg (Neutrophils): At 81.1%, this is elevated. Neutrophils are a type of white blood cell that responds to infection. A high percentage may indicate an ongoing infection or inflammation.

12. Lymph (Lymphocytes): Your lymphocyte percentage is 9.8%, which is low (typically 20% to 40%). Low lymphocyte levels can suggest a variety of conditions, including viral infections, autoimmune disorders, or stress.

13. Mono (Monocytes): At 8.6%, this is within the normal range (typically 2% to 8%). Monocytes are another type of white blood cell involved in immune response.

14. Eosin (Eosinophils): Your eosinophil count is 0.3%, which is low (typically 1% to 4%). Eosinophils are involved in allergic responses and parasitic infections.

15. Baso (Basophils): At 0.2%, this is normal (typically less than 1%). Basophils play a role in allergic reactions and inflammation.


Summary and Recommendations:
- The elevated neutrophil percentage may indicate an infection or inflammation, while the low lymphocyte count could suggest a viral infection or other underlying issues.

- The high MPV could indicate increased platelet production, often seen in inflammatory states.

- It is essential to correlate these findings with any symptoms you may be experiencing. If you have signs of infection (fever, fatigue, etc.) or other health concerns, it would be wise to consult with your healthcare provider for further evaluation and potential follow-up tests.

- Regular monitoring of these values is advisable, especially if you have any chronic conditions or symptoms that could relate to these findings.

In conclusion, while some values are slightly abnormal, they should be interpreted in the context of your overall health and any symptoms you may have. Always consult your healthcare provider for personalized advice and management.

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