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The hematocrit is the ratio of the total volume of blood to the total volume of red blood cells, and is measured as part of a complete blood count. This is the primary test done to determine if a ...
A complete blood count (CBC), also known as a full blood count (FBC), is a set of medical laboratory tests that provide information about the cells in a person's blood.The CBC indicates the counts of white blood cells, red blood cells and platelets, the concentration of hemoglobin, and the hematocrit (the volume percentage of red blood cells).
Anemia is typically diagnosed on a complete blood count. Apart from reporting the number of red blood cells and the hemoglobin level, the automatic counters also measure the size of the red blood cells by flow cytometry , which is an important tool in distinguishing between the causes of anemia.
Normal reference range of RDW-CV in human red blood cells is 11.5–15.4%. [2] [1] If anemia is observed, RDW test results are often used together with mean corpuscular volume (MCV) results to determine the possible causes of the anemia. It is mainly used to differentiate an anemia of mixed causes from an anemia of a single cause.
Further studies will be undertaken to determine the anemia's cause. If the anemia is due to iron deficiency, one of the first abnormal values to be noted on a complete blood count, as the body's iron stores begin to be depleted, will be a high red blood cell distribution width, reflecting an increased variability in the size of red blood cells.
Pernicious anemia is the most common cause of clinically evident vitamin B 12 deficiency worldwide. [14] Pernicious anemia due to autoimmune problems occurs in about one per 1000 people in the US. Among those over the age of 60, about 2% have the condition. [8] It more commonly affects people of northern European descent. [2]
In stage 3, anemia (reduced hemoglobin levels) is present but red blood cell appearance remains normal. [4] Changes in the appearance of red blood cells are the hallmark of stage 4; first microcytosis and then hypochromia develop. [4] Iron deficiency begins to affect tissues in stage 5, manifesting as symptoms and signs. [4]
This is common in immunocompromised, elderly, and diabetic people. High blood loss can also come from the increased loss of blood during menstruation, childbirth, cancers of the intestines, and disorders that hinder the blood's ability to coagulate. [citation needed] Medications can have adverse effects and cause nutritional anemia as well.
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