HEMOGRAM (CBC)

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Test Details

  • CBC with ESR

Description

Complete haemogram is a test that measures the number of RBCs, WBCs and platelets in blood it also measures the rate at which the RBCs sediment, commonly known as the erythrocyte sedimentation rate (ESR).

More About Hemogram

Other names: Complete Blood Hemogram, full hemogram, CBC with ESR

 

Complete Hemogram means a comprehensive test which includes broad screening of blood component parameters.

Complete Hemogram includes following tests:

  1. Complete Blood Count or CBC test: measures various different components and features of the blood
  2. Erythrocyte Sedimentation rate ESR: rate at which RBCs settle at bottom in one hour is also measured.

A complete hemogram blood test (HMG) mainly involves the testing for three components: Red Blood Cells (RBCs), White Blood Cells (WBCs), and Platelets. Complete hemogram test list is as follows:

  • Total count of WBC, RBC & Platelets: Total number of RBC, WBC and platelets
  • Differential WBC count: Number of different types of WBCs namely Neutrophils, Basophils, Eosinophils, Lymphocytes and Monocytes.
  • Platelet Crit (PCT): volume occupied by platelets in blood
  • Mean Cell Volume (MCV): This is the average size of your red blood cells.
  • Mean Platelet Volume (MPV): This measures average size of platelet
  • Peripheral Smear Examination: This examines physical appearance of RBC, WBC and platelets
  • Packed Cell Volume (PCV) OR Haematocrit (HCT): It is ratio of Red blood cells versus fluid/liquid component of the blood, also known as plasma.
  • Mean Cell Haemoglobin (MCH) & its Concentration
  • RBC Distribution Width-Standard Deviation (RDW-SD)
  • RBC Distribution Width-Coefficient of Variation (RDW-CV)
  • Erythrocyte Sedimentation Rate (ESR): It measures how quickly red blood cell settle at the bottom. This is measured in per hour basis.
Why Complete Hemogram?

Complete Hemogram is very useful in patients with bleeding disorders, patients taking medications which impact blood cells and for patients having cancer, bone marrow disease, bleeding disorders or autoimmune disorders. Parameters such as MPV, platelet crit are crucial for monitoring bleeding disorders and bone marrow conditions. Differential counts of WBCs help evaluate infections and severity of the same.

Who should get tested for Compelte Haemogram?

Your healthcare provider may ask you to get Complete hemogram as part of regular health checkup if you are suffering from following conditions:

  1. Prolonged bleeding for minor injuries
  2. Taking Chemotherapy for cancer
  3. Leukemia
  4. Excessive bleeding
  5. Nose bleeding
  6. Red or purple spots on skin
  7. Unexplained bruising
  8. Anemia
  9. Viral infections
  10. Complicated pregnancy: High blood pressure in pregnancy (Preeclampsia)
Reference Range and Requirments for Hemogram

Complete hemogram reference range:

 

Hemoglobin Men: 13 to 17 (gm/dL) for Women: 12 to 15 gm/dL
Red Blood Cells (RBCs) Men: 4.5 to 5.5 million cells/mcL;

Women: 3.8 to 4.8 million cells/mcL

White Blood Cells (WBCs) 4,000 to 10,000 (cells/mcL)
Platelets 1,50,000 to 4,10,000 platelets/mcL
Hematocrit Men: 40% to 50%;

Women: 36% to 46%

Mean corpuscular volume (MCV) 83 to 101 fL
Mean Platelet Volume (MPV) 6.8 – 10.9 fL
Mean Cell Haemoglobin 27 – 32 pg
RBC Distribution Width 11.6 – 14%

 

Erothrocyte Sedimentation Rate (ESR)

 

 

Men: 0-14 mm/hr, or 0-20 mm/hr for men older than 50

Women: 0-20 mm/hr, or 0-30 mm/hr for women older than 50

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