What Does My Blood Test Report Suggest?

Posted on Mon, 21 Apr 2014

Question: Had cbc. Results were Wbc- 12,9 Rbc- 3.51 Hgb- 9,6 Hct- 29.9 Mch- 27.4 Rdw-cv 15.1 Neutrophils- 11.0 Neutrophil % 85.1% Lymph % 7.9% Manual diff: Seg- 81% Lymph- 6% Myelo- 3% Promyelo- 1% Aniso- slight Polychrom- 1+

Answered by Dr. Guru (5 hours later)

Brief Answer: Myelocytes, promyelocytes are present Detailed Answer: Hi, Thanks for consulting HealthcareMagic! The abnormal findings in your CBC are increased Neutrophils, presence of myelocytes, promyelocytes. Presence of myelocytes, promyelocytes is a concern more than Anisocytosis and polychrmocytes. Myelocytes, promyelocytes are present in certain benign and some serious conditions. However, a Physical examination is mandatory to assess this since there are variety of other causes that needs to be ruled out. You need a consultation with Hemotologist as well. Hope I have answered your query. Let me know if you have have any clarifications. If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows: http://doctor.healthcaremagic.com/doctors/dr-vasanth/66057 Wish you good health!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Guru (10 minutes later)

Im on prednisone

Answered by Dr. Guru (3 minutes later)

Brief Answer: indication for using Prednisone Detailed Answer: Hi, Can I know the indication for using Prednisone and why you wanted to specify about it to me particularly now? Awaiting a reply!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Guru (3 minutes later)

Crohns disease. Im justbwondering if i nee to worry Bout the cbc. I am on iron twice a day and prenatal twice a day

Answered by Dr. Guru (8 minutes later)

Brief Answer: From the readings you have typed, there is some Detailed Answer: Hi, Thanks for follow up! From the readings you have typed, there is some need to be worried about. I meant, you need Hemotologist opinion as well. However, I think I can comment better if you can upload the exact CBC report which shows clear cut values. I do not think that your Crohn's disease or Prdnisone usage could have caused presence of all the above mentioned abnormalities in CBC. Hope I have answered your query. If you are satisfied, you may now close the discussion and rate the answer. If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows: http://doctor.healthcaremagic.com/doctors/dr-vasanth/66057 Wish you good health!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Guru (21 minutes later)

Attached are the labs

Answered by Dr. Guru (12 hours later)

Brief Answer: I could not see the readings you mentioned about Detailed Answer: Hi, I could not see the readings you mentioned about Manual diff: Seg- 81% Lymph- 6% Myelo- 3% Promyelo- 1% This was the main thing I was waiting for. Thanks!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Guru (4 hours later)

Its the second attatched picture

Answered by Dr. Guru (7 hours later)

Brief Answer: Hemotologist Detailed Answer: Hi, Sorry for delay in replying. Now I got a better idea after seeing your reports. As I mentioned earlier, presence of myelocytes, promyelocytes is a concern more than than the finding of Anisocytosis and polychrmocytes. Myelocytes, promyelocytes are present in certain benign and some serious conditions as well. However, a Physical examination is mandatory to assess this since there are variety of other causes that needs to be ruled out. I do not think that use of prednisone or crohn's disease has altered the results of your CBC. You need a consultation with Hemotologist. Hope I have answered your query. If you are satisfied, you may now close the discussion and rate the answer. If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows: http://doctor.healthcaremagic.com/doctors/dr-vasanth/66057 Wish you good health!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Guru (2 hours later)

What conditions is it associated with? My gi dr wasnt concerned with results

Answered by Dr. Guru (14 hours later)

Brief Answer: various kinds of inflammation, infection, etc. Detailed Answer: Hi, Thanks for consulting HealthcareMagic! Myelocytes, promyelocytes are present usually in various kinds of inflammation, infection, etc. But also rarely without any clinical significance and also in pregnancy. However, as I have not done a physical exam on you, I cannot say for sure what all can be suspected in your case. It again depends on the type of myelocytes like neutrophil myelocytes, eosinophil myelocytes or basophil myelocytes. It is better to get an advise from a Hematologist who is specialized in these kind of problems. I am not sure why your doctor was not concerned with results. Even if he is not concerned about Myelocytes, promyelocytes, there are other things like elevated neutrophils etc that should get some attention. Take Care!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Guru (6 minutes later)

I thought i was asking a hematologist on here

Answered by Dr. Guru (6 minutes later)

Brief Answer: No, I am not a Hemoatologist. Detailed Answer: Hi, No, I am not a Hemoatologist. Your query was posted to General Physician's category. You need to post your query separately for Hematologists if you want your answer to get answered by them, which may cost higher. Wish you good health!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Guru (47 minutes later)

What are possible causes

Answered by Dr. Guru (2 hours later)

Brief Answer: Refer below Detailed Answer: Hi, Possible causes include various kinds of inflammation, infection and even pregnancy as I mentioned earlier. As the number of myelo and promyelo is comparatively higher than that usually found in pregnancy, I thought that a Hematologist opinion would be much better. Take Care!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Guru (14 minutes later)

You dont have to be rude about it

Answered by Dr. Guru (11 hours later)

Brief Answer: Really sorry if you felt that I was rude. Detailed Answer: Hi, I don't know why you felt that I have been rude. Extremely sorry if you felt so. I never be rude on my patients. I get immense pleasure in helping my patients. I don't know your name, so was not able to address properly. Really sorry if you felt that I was rude. Still wondering why you felt so. Please take care!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar