Blood report

Blood report

.CBC [complete blood count ]

.Blood film report

CBC [complete blood count ]
Blood

RBC WBC PLt

Number Total count Number

HCT (PCV) Differential count

Size[MPV]
Hb level Neutrophils
MCV,MCH,MCHC Lymphocytes
RETICS Monocytes
RDW Eosinophil
Basophils
  AGE
 
COMPLETE BLOOD
COUNT
10-17 yr >18-99 yr
0-30 days 1-23 mo 2-9 yr F F
M M

RBC Count ?106/mm3 (?L)

4.1-6.7 3.8-5.4 4.0-5.3 4.2-5.6 4.1-5.3 4.7-6.0 4.2-5.4

Hematocrit (HCT, Hct) %

of packed red cells (V 44-70% 32-42% 33-43% 36-47% 35-45% 42-52% 37-47%
red cells/V whole blood
cells ? 100

 Hemoglobin (Hb) m
g/dL
 
  15.0-24.0 10.5-14.0 11.5-14.5 12.5-16.1 12.0-15.0 13.5-18.0 12.5-16.0
 
 
 
 
 AGE 

Erythrocyte indices (RBC indices)

0-30 days 1-23 mo 2-9 yr 10-17 yr
>18Yr

 Mean corpuscular hemoglobin (MCH) 33-39 24-30 25-31 26-32 27-31

pg/cell

Mean corpuscular hemoglobin

All age 
concentration (MCHC) % Hb/cell or g
32-36
Hb/dL RBC

Mean corpuscular volume (MCV) fL

 
99-115 72-88 76-90 78-95 78-100
 
 
 

RDW % 13.0-18.0 11.5-16.0 11.5-15 11.5-14 11.5-14

 1 day 0.4-6.0
1 day 0.4-6.0

7 days <0.1-1.3

7 days <0.1-1.3

1-4 wk <1.0-1.2

 Reticulocyte count 1-4 wk <1.0-1.2

5-6 wk <0.1-2.4

Index =count.
7-8 wk 0.1-2.9
  5-6 wk <0.1-2.4
 
  9-10 wk <0.1-2.6
 
7-8 wk 0.1-2.9
 

9-10 wk <0.1-2.6
11-12 wk 0.1-1.3

11-12 wk 0.1-1.3
 AGE
Leukocyte differential   ?
1,000 cells/mm3

NEWBORN 1-23MON 2-9Yrs 10-17yrs

 Leukocyte count ?1,000

cells/mm3
 
9.1-34.0 6.0-14.0 4.0-12.0 4.0-10.5
 
 
 

 Neutrophils (“bands”) <3.5 <1.0 <1.0 <1.0

 Neutrophils (“segs”) 6.0-20.0 1.0-6.0 1.2-6.0 1.3-6.0

 Lymphocytes 2.5-10.5 1.8-9.0 1.0-5.5 1.0-3.5

<3.5
 Monocytes <1.0 <1.0 <1.0

 Eosinophils <2.0 <0.7 <0.7 <0.7

 Basophils <0.4 <0.1 <0.1 <0.1

 Newborn 84-478 (after 1 wk, same as
adult)
Platelet count (thrombocyte count) ?
103/mm3 (?L)
Adult 150-400

MPV 6-9.5
 Blood film

Concentration mainly on the shape

and any inclusion body with in the
.cells or in plasma
Also we can calculate numbers and
.determine other items of CBC
 Abnormal RBC
.Microcyte
Macrocyte
Sickle cell
spherocyte& elliptocyte
Target cell
Tear drop
Blister cell
Schistocyte
acanthocyte
Henz body
Howell-jolly body
Microcytic anemia
Macrocytic anemia
Sickle cell
spherocytosis
Target cell
Tear drop
Blister cell
Schistocyte
Acanthocyte
Heinz body
Howell-jolly body
 WBC

Blast cells

Band form
WBC
Blast cell
Band form
Parasite (Malaria)
Parasite (leishmania)
 Anemia

MCV

low normal high

IDA .Folate def

.Thala .B12 def
.Lead Pos .Aplastic ane
Ch.disease Preleukemia
sideroblas Immune haeomlytic
.Liver dise
 Normal MCV

RETIC

high
low

.BIL WBC &PLT

normal high normal low

Pure red cell aplasia Bone marrow

hemorrhage hemolytic Diamond blackfan depression
Transient erytheoblastopenia Malignancy
of childhood aplastic anemia
 Hemolytic

Coombs test

negative positive

Corpuscular Extracorpuscular Autoimmune

Hemoglopinopathy Idiopathic 1ry
membranedefect 2ry 2ry
enzymeopathy drugs isoimmune(RH,ABO,mismatch)
infections
microangiopathic
Hb electrophoresis
α 2 Ɓ2=A
A2 = α2 ԃ2
F = α2 ɣ 2
S = α2 ƁS2
H = Ɓ2 Ɓ2
 haemostasis
Plt (number, size)
Bleeding time =3-9.5 min
Clotting time =6-17 min
PT (EX.path.)=11-16 sec
PTT(INT.path.+ .commonpath.)=25-38 sec
INR= pt PT/normal PT
CRP (acute phase reactant)
Normal <8 mg /L
12= +
18= ++
24=+++
      

  M (mg/L) F (mg/L)

0.9-15.8
days 0-90 0.8-15.8

0.5-7.9
days-12 mo 91 0.8-11.2

C-reactive protein
(high sensitivity)
0.8-11.2 0.8-7.9
mo-3 yr 13

yr 4-10 0.6-7.9 0.5-10.0

0.6-8.1
yr 11-14 0.8-7.6

0.6-7.9
yr 15-18 0.4-7.9
ESR
Normal male =age /2
Female =(age +10)/2
Affected by many factors
Increased by :infection ,inflammation,
.… malignancy
 Biochemistry

Creatinine < 1week=0.6-1.1mg /dl

1year =0.2-0.7mg /dl>

Bilirubin <1day =<5.8mg/dl

1st week=10mg/dl
1month=1mg/dl>
 Biochemistry
ALP
1-3Y=145-320 U/L
4-6Y=150-380 U/L
7-9Y=170-420U/L
Adolescent up to 560U/L
Then decrease male 260U/L
Female 130U/L
 CSF
Cell count (WBCs/mm³)
adult and children :<5, ≥75% Lymphocytes
neonates:<30, ≥75% Lymphocytes
Glucose (mg/dl)
or 75% Serum( 50>
Protein (mg/dl)
adult and children: 20-45
Preterm 65-150
Term 20-170
 Urine Analysis
Protein
: dipstick
trace (10-20 mg/dL)
)mg/dL 30( +1
)mg/dL 100( +2
)mg/dL 300( +3
.)mg/dL 1000-2000( +4
:Pr/cr ratio
in <2years OR <0.2 in older 0.5<
: Timed (24-hr) urine collections
mg/24 hr OR ≤4 mg/m2/hr 150<