Opened database successfully add two inverted commas for every one Medicine for Medical Students, Doctors, Physicians, Surgeons, Allied Healthcare Professionals

MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd

Full or Complete Blood Count (FBC CBC)

About

Anaesthetics and Critical Care

Obstetrics Gynaecology

Trauma and Orthopaedics

Twitter

Urology

Version Jan 2023

Related Subjects: | Ferritin | CEA | ESR | CRP | ALP | LDH | HbA1c | Alpha Fetoprotein | Anti-Hu ab | Biochemical Lab values

About

These are performed on automated equipment and provide haemoglobin concentration, red cell indices, white cell count (with a differential count) and platelet count. The presence of abnormal white cell and red cell morphology is flagged by the analysers.
Blood films may be inspected to confirm and interpret abnormalities identified by the cell counter, or to look for certain specific haematological abnormalities.
There is no need to request a blood film to obtain a differential white count. It is, however, important that clinical details are provided to allow the laboratory to decide whether a blood film, in addition to the automated analysis, is required.
The normal range describes the range where 95% of the normal healthy population will lie. This also means that there is 5% of the normal healthy population will fall outside the "normal range", however they too are normal. Normal ranges are a guide. There are many instances where the FBC will fall outside the "normal range" and yet these could be described as totally normal for the given clinical situation
Ethnicity can affect the WBC and platelet normal ranges. If the patient is Black Afro-Caribbean or Black African, the WBC and neutrophils count normal ranges are much lower. In these instances, the normal adult range must be interpreted depending on the patient's ethnic background.

Sample Requirements

2ml or 4ml EDTA sample Purple or Red tubes.
Do not store, send to laboratory within 4 hours
EDTA samples are retained for a minimum of 48 hours at 2-10 C

The FBC comprises the following tests

Haemoglobin (Hb)
- High: Polycythaemia
- Low: Anaemia
White Blood Count (WBC)
- High: Leucocytosis
- Low: Leucopenia
Platelet Count (Plt)
- High: Thrombocythaemia
- Low: Thrombocytopenia
Red Cell Count (RBC)
Haematocrit (HCT)
Mean Cell Volume - Red cell (MCV)
Mean Cell Haemoglobin (MCH)

Differential White Cell Count (where applicable)

Neutrophils : Bacterial and acute viral infections
Lymphocytes : Viral infections, TB
Monocytes : Bacterial, Viral, Autoimmune
Eosinophils : Parasitic infections
Basophils : Marrow related conditions

Parameter	Patient	Reference Range	Units
Haemoglobin	Adult Male	130 - 180	g/l
	Adult Female	115 - 165	g/l
Red Cell Count	Adult Male	4.50 - 6.50	x10¹²/l
	Adult Female	3.80 - 5.80	x10¹²/l
Haematocrit	Adult Male	0.40 - 0.54	l/l
	Adult Female	0.37 - 0.47	l/l
Mean Cell Volume	Adult	80 - 100	fl
Mean Cell Haemoglobin	Adult	27 - 32	pg
White Cell Count	Adult	3.6 - 11.0	x10⁹/l
Neutrophils	Adult	1.5 - 7.5	x10⁹/l
Lymphocytes	Adult	1.0 - 4.0	x10⁹/l
Monocytes	Adult	0.2 - 0.8	x10⁹/l
Eosinophils	Adult	0.1 - 0.4	x10⁹/l
Basophils	Adult	0.02 - 0.10	x10⁹/l
Platelet Count	Adult	140 - 400	x10⁹/l

PLEASE NOTE LEGAL ADVICE: The contents are under continuing development and improvements and may contain errors of omission or fact. The official launch will be at the end of 2018. Feedback vital and always welcome at drokane at gmail.com. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice. It is only for educational purposes. Please adhere to your local protocols. If you are unwell please seek healthcare advice from your doctor. This does not replace senior or specialist advice. If you do not accept this then please do not use the website. If you need medical advice, please consult a doctor or other appropriate medical professional. If you are a medical professional and you need advice then speak to your senior or colleagues.

Hits