Please assist in interpreting the examination report?
Hello doctor, could you please help me review my mother's test report and identify which values are problematic? Thank you.
Blood Test Parameters:
- White Blood Cell Count (WBC): 4.7
- Red Blood Cell Count (RBC): 4.23
- Hemoglobin: 9.1
- Hematocrit: 30.2
- Mean Corpuscular Volume (MCV): 71.4
- Mean Corpuscular Hemoglobin (MCH): 21.5
- Mean Corpuscular Hemoglobin Concentration (MCHC): 30.1
- Red Cell Distribution Width (RDW): 31.6
- Platelet Count: 38
- Platelet Distribution Width (PDW): Not available
- Mean Platelet Volume (MPV): Not available
- Atypical Lymphocytes: 1.0
- Blast Cells: 1.0
- Promyelocytes: 1.0
- Myelocytes: 2.0
- Metamyelocytes: 3.0
- Segmented Neutrophils: 40.0
- Band Neutrophils: 2.0
- Lymphocytes: 38.0
- Monocytes: 12.0
- Eosinophils: 0.0
- Basophils: 0.0
659, 30~39 year old female. Ask Date: 2020/09/19
Dr. Chen Yunfang reply Oncology
Hello: There are abnormal blood cells in your blood; please see a hematologist.
Thank you!
Reply Date: 2020/09/19
More Info
Based on the blood test results you've provided for your mother, there are several key values that stand out and warrant further discussion. Here’s a breakdown of the important components of the report and what they might indicate regarding her health.
1. Hemoglobin (Hb): Your mother's hemoglobin level is reported at 9.1 g/dL, which is below the normal range (typically around 12-16 g/dL for women). Low hemoglobin levels can indicate anemia, which can result from various causes such as iron deficiency, chronic disease, or bone marrow issues. Anemia can lead to symptoms like fatigue, weakness, and shortness of breath.
2. Hematocrit (Hct): The hematocrit value of 30.2% is also low (normal range is approximately 36-46% for women). This further supports the possibility of anemia, as hematocrit measures the proportion of blood volume that is occupied by red blood cells.
3. Mean Corpuscular Volume (MCV): The MCV is reported at 71.4 fL, which is lower than the normal range (80-100 fL). This indicates microcytic anemia, often associated with iron deficiency or thalassemia.
4. Mean Corpuscular Hemoglobin (MCH): The MCH value of 21.5 pg is also low (normal range is 26-34 pg), which aligns with the findings of microcytic anemia.
5. Red Cell Distribution Width (RDW): The RDW is elevated at 31.6% (normal range is 12.2-14.9%). An increased RDW indicates a greater variation in red blood cell size, which can be seen in conditions like iron deficiency anemia or mixed anemia.
6. Platelet Count: The platelet count is not provided in your summary, but if it is low (thrombocytopenia), it can lead to increased bleeding risk. If it is normal, that is a positive sign.
7. Atypical Lymphocytes and Blasts: The presence of atypical lymphocytes (1.0) and blasts (1.0) can be concerning. While a small number of atypical lymphocytes can be seen in viral infections, a higher number of blasts may indicate a more serious condition, such as a hematological malignancy. It’s crucial to discuss these findings with a hematologist.
8. Other White Blood Cell Types: The neutrophil count (40.0%) and lymphocyte count (38.0%) appear to be within normal limits, which is a good sign. However, the presence of atypical lymphocytes should be evaluated further.
Given these findings, it is essential to consult a hematologist or your primary care physician for a comprehensive evaluation. They may recommend further tests, such as iron studies, vitamin B12 and folate levels, or even a bone marrow biopsy, depending on the clinical context and symptoms.
Next Steps:
- Follow-Up Appointment: Schedule a follow-up appointment with a healthcare provider to discuss these results in detail.
- Additional Testing: Be prepared for the possibility of additional blood tests or imaging studies to determine the underlying cause of the anemia and any other abnormalities.
- Symptom Monitoring: Keep track of any symptoms your mother may be experiencing, such as fatigue, weakness, or unusual bruising, and report these to her healthcare provider.
Conclusion:
The blood test results indicate potential anemia and warrant further investigation, especially concerning the atypical lymphocytes and blasts. Early diagnosis and treatment are crucial for managing any underlying conditions effectively.
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