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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood test shows hypochromic, normocytic anemia, leukopenia, relative lymphocytosis. Diagnosis correct?

Hi? I would like to refer my diagnosis if it is right regarding hematology .This is the result I obtain for a 62 years old patient, in which he got a HB % of 12.3, HCt is 36.7, RBc is 4.83 WBC is 3.6 while the MCV 76, MCH 25 and MCHC is 33.5 the differential count neutrophil 34 , LYmphocyte is 60 while Monocytes is 6. So I describe it as Mild hypochromic, normocytic anaemia, Mild leukopenia with relative lymphocytosis ,Normal platelets count and morphology.
Mon, 3 Sep 2012
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General & Family Physician 's  Response
Hi, Welcome to HCM, I am Dr. Das
The test report indicates the hemoglobin level it mildly reduced from normal for age and sex, RBC count is also normal, MCV,MCH , all are reduced mildly, MCHC is normal. What was the RDW value? IT is a crucial for diagnosing anaemia. Overall, the report shows a mild hypochromia, mild anaemia. It is not normocytic.
Regarding the WBC, it is leucopenia with relative lymphocytosis. What is missing is what is the morphology of these lymphocytes? was there any abnormal cell? In this age group this type of lymphocytosis may turn to serious disease. Thats all.
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General & Family Physician Dr. Ganesh Dhakappa's  Response
Hi.
Thanks forn choosing HCM.
The report written by you is seen many times in people recovering from a Viral illness.
However he should be clinically assessed by a doctor if his anemia needs correction.
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