A Methodical Approach to Interpreting the Red Blood Cell Parameters of the Complete Blood Count.

A methodical approach to interpreting the panel of complete blood count (CBC) results helps to ensure that spurious results are detected and corrected before results are reported and helps to ensure that no results are overlooked in a diagnostic analysis of the results. The steps to interpreting the...

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Publicado en:Clinical Laboratory Science Vol. 30; no. 3; pp. 173 - 186
Autores principales: DOIG, KATHY, BEI ZHANG
Formato: case study equations & formulas tables/charts Journal Article
Publicado: American Society for Clinical Laboratory Science Summer2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: American Society for Clinical Laboratory Science
      place: Dundee, Michigan
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        atl: A Methodical Approach to Interpreting the Red Blood Cell Parameters of the Complete Blood Count.
      aug:
        au:
          DOIG, KATHY
          BEI ZHANG
        affil: Professor Emeritus, Biomedical Laboratory Diagnostics Program, Michigan State University, E. Lansing, MI
      sug:
        subj:
          Blood Cell Count
          Erythrocyte Indices
          Erythrocytes
          Diagnosis, Differential
          Erythrocyte Count
          Hemoglobins Analysis
          Reticulocyte Count
          Hematocrit Evaluation
          Diagnostic Reasoning
          Education, Continuing (Credit)
          Adult
          Middle Age
          Aged
          Female
          Male
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: A methodical approach to interpreting the panel of complete blood count (CBC) results helps to ensure that spurious results are detected and corrected before results are reported and helps to ensure that no results are overlooked in a diagnostic analysis of the results. The steps to interpreting the red blood cell (rbc) parameters are: 1. Interpret the hemoglobin value relative to the appropriate reference interval. 2. Interpret the mean cell volume relative to the reference interval. 3. Interpret the mean cell hemoglobin concentration relative to the reference interval. 4. Interpret the red blood cell distribution width relative to the reference interval. 5. Examine the red blood cell morphology, if available, and correlate morphology with instrument parameters for consistency and quality purposes. Also, review for additional diagnostic findings. 6. As a final check on the numerical parameters, examine the rbc count, hematocrit, mean cell hemoglobin, and calculate the Rule of Three to ensure that the above interpretations are correct. 7. Use related test results when available, particularly reticulocyte parameters, to verify CBC findings and add diagnostic information. 8. Interpret the rbc parameters for diagnostic significance and correlate with results of white blood cell and platelet parameters. Explanations for conducting the evaluations are provided and the above steps are applied to examples to demonstrate this approach to interpreting the rbc parameters of the CBC.
      pubtype: Academic Journal
      doctype:
        case study
        equations & formulas
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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