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CBC-Complete Hemogram Test (28)

Blood
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Report in 4Hrs

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At Home

nofastingrequire

No Fasting Required

Details

Complete blood count evaluating hemoglobin, RBCs, WBCs, and platelets; detects infections, anemia, and hematologic disorders.

99190

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CBC-Complete Hemogram Test(28)

  • Why is it done?
    • Measures the quantity and quality of red blood cells, white blood cells, and platelets in the blood
    • Detects infections, anemia, blood disorders, and immune system conditions
    • Performed as routine screening during physical examinations
    • Used to diagnose symptoms like fatigue, weakness, fever, and abnormal bleeding
    • Monitors effectiveness of treatment for blood disorders and chemotherapy
    • Part of routine health checkups, pre-operative assessments, and hospital admissions
  • Normal Range
    • Red Blood Cell (RBC) Count: 4.5-5.5 million cells/mcL (males); 4.1-5.1 million cells/mcL (females)
    • Hemoglobin (Hb): 13.5-17.5 g/dL (males); 12.0-15.5 g/dL (females)
    • Hematocrit (Hct): 41-50% (males); 36-44% (females)
    • Mean Corpuscular Volume (MCV): 80-100 fL
    • Mean Corpuscular Hemoglobin (MCH): 27-31 pg
    • Mean Corpuscular Hemoglobin Concentration (MCHC): 32-36 g/dL
    • White Blood Cell (WBC) Count: 4.5-11.0 thousand cells/mcL
    • WBC Differential (Percentages):
    • • Neutrophils: 50-70% • Lymphocytes: 20-40% • Monocytes: 2-8% • Eosinophils: 1-4% • Basophils: 0-1%
    • Platelet Count: 150-400 thousand/mcL
    • Red Cell Distribution Width (RDW): 11-15%
    • Interpretation: Normal results indicate healthy blood cell production and immune function. Low values indicate deficiency or suppression; high values may indicate infection, inflammation, or production disorders.
  • Interpretation
    • Low Red Blood Cells/Hemoglobin/Hematocrit (Anemia): May indicate iron deficiency, vitamin B12 or folate deficiency, chronic disease, blood loss, bone marrow disorders, or hemolysis
    • High Red Blood Cells/Hemoglobin/Hematocrit (Polycythemia): May indicate dehydration, smoking, chronic hypoxia, polycythemia vera, or high altitude adaptation
    • Elevated WBC Count (Leukocytosis): May indicate acute infection, leukemia, chronic myeloid leukemia, leukemoid reaction, stress, corticosteroid use, or inflammatory conditions
    • Low WBC Count (Leukopenia): May indicate bone marrow suppression, chemotherapy side effects, radiation therapy, immunosuppressive drugs, HIV/AIDS, or severe infections
    • Elevated Neutrophils: Indicates bacterial infection, acute inflammation, stress, or leukemia
    • Elevated Lymphocytes: Suggests viral infection, lymphocytic leukemia, whooping cough, or immune response
    • Elevated Monocytes: May indicate chronic infection, tuberculosis, fungal infection, or monocytic leukemia
    • Elevated Eosinophils: Suggests parasitic infection, allergic reaction, asthma, or hypereosinophilic syndrome
    • Low Platelet Count (Thrombocytopenia): May indicate increased consumption (ITP, DIC), decreased production (bone marrow disease), or splenomegaly; risk of abnormal bleeding
    • High Platelet Count (Thrombocytosis): May indicate infection, inflammation, malignancy, polycythemia vera, or post-splenectomy state; risk of thrombosis
    • Abnormal RBC Indices: Low MCV (microcytic): iron deficiency, thalassemia. High MCV (macrocytic): B12/folate deficiency, alcoholism. Normal MCV (normocytic): hemolysis, acute blood loss
    • High RDW: Indicates variation in RBC size; may indicate nutritional deficiency, hemolysis, or mixed anemia types
    • Factors affecting results: Age, sex, altitude, smoking, medications, pregnancy, recent transfusion, specimen handling, and time of day can influence values.
  • Associated Organs
    • Primary Organs Involved:
    • • Bone marrow (blood cell production) • Spleen (blood cell storage and destruction) • Lymph nodes (immune function) • Liver (hemoglobin metabolism) • Kidneys (erythropoietin production)
    • Conditions Diagnosed or Monitored:
    • • Anemias (iron deficiency, vitamin B12 deficiency, folic acid deficiency, aplastic anemia, hemolytic anemia) • Infections (bacterial, viral, fungal, parasitic) • Leukemias and lymphomas • Bone marrow disorders (myelodysplastic syndromes, myeloproliferative neoplasms) • Bleeding disorders and thrombotic conditions • Immune disorders (HIV/AIDS, immunodeficiency) • Chronic diseases (kidney disease, liver disease, autoimmune conditions) • Medication toxicity and chemotherapy effects
    • Potential Complications from Abnormal Results:
    • • Severe anemia: Fatigue, shortness of breath, heart failure, organ damage • Severe leukopenia: Life-threatening infections, sepsis • Thrombocytopenia: Spontaneous bleeding, hemorrhage, intracranial bleeding • Leukemia/lymphoma: Rapidly progressive disease, multi-organ involvement, treatment complications • Infection: Systemic inflammation, septic shock, multi-organ failure
  • Follow-up Tests
    • For Anemia Investigation: Iron studies, ferritin, vitamin B12, folate levels, reticulocyte count, peripheral blood smear, bone marrow biopsy
    • For Infection Suspicion: Blood cultures, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), procalcitonin, lactate
    • For Leukemia/Lymphoma Suspicion: Peripheral blood smear, flow cytometry, bone marrow biopsy and aspirate, chromosome analysis, genetic testing
    • For Thrombocytopenia: Coagulation studies (PT/INR, aPTT), blood smear, bone marrow biopsy if indicated, peripheral blood smear for schistocytes
    • For Bone Marrow Disorders: Bone marrow biopsy and aspirate, cytogenetics, molecular studies, LDH, bilirubin
    • Complementary Tests: Comprehensive metabolic panel (CMP), liver function tests, renal function tests, blood glucose, chest X-ray
    • Monitoring Frequency: Repeat CBC weekly to monthly depending on condition severity and treatment; routine screening every 1-3 years for asymptomatic patients
  • Fasting Required?
    • Fasting Required: NO - Fasting is not required for CBC test
    • Patient Preparation:
    • • Can eat and drink normally before the test • No special dietary restrictions • Wear loose, comfortable clothing to allow easy blood draw access • Avoid strenuous exercise 24 hours before test if possible • Inform healthcare provider of all medications
    • Medications to Report:
    • • Anticoagulants (warfarin, heparin, DOACs) • Antiplatelet agents (aspirin, clopidogrel) • Corticosteroids • Chemotherapy agents • Immunosuppressive medications • NOTE: Do NOT stop medications without provider instruction; inform phlebotomist of all current medications
    • Special Instructions:
    • • Bring photo ID and insurance card • Arrive 10-15 minutes early for paperwork • Inform phlebotomist of previous difficult blood draws • Remain seated for 15 minutes if feeling faint • Apply pressure to puncture site for 1-2 minutes after draw • Stay hydrated throughout the day

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