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Medical Forum / General / General / January 2005

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Interpreting blood test results

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Mike - 07 Jan 2005 17:10 GMT
Anyone here know how to interpret blood test results?

Here are some to get started (view with FP font)...

FBC
 WBCs                    6.2 10*9/L
 RBCs                    5.19 10*12/L
 HB                    16.0 g/dl
 Red blood cell distribution width    12.6
 Platelet count            275 10*9/L
 etc..
Differential white cell count
 Neutrophil count            3.10 10*9/L
 Lymphocyte count            2.41 10*9/L
 etc..

There is more if anyone can translate this into something
meaningful.

Thanks,
Mike.
P.Snot - 07 Jan 2005 18:19 GMT
>Anyone here know how to interpret blood test results?
>
[quoted text clipped - 17 lines]
>Thanks,
>Mike.

Why do you ask to interpret these results?

And why did you, or your doctor,  take this blood test?  It makes a
difference if you take a test for screening purposes, or if you have
specific complaints.
And, why do you give only a part of the results?  Again, it depends on
the context in which the test is taken - the predictive values are
depending on your a priori chances.  So, you need to know what gender
and age you have, what diseases you have (had), what your complaints
are,  et cetera.

The values you give are within the "normal" range, this probably is
mentioned on the report too. "Normal" means 95% of the population.
But this does not mean you are healthy at all.

Greetings

P
Med.Stud.
Mike - 07 Jan 2005 19:06 GMT
>>Anyone here know how to interpret blood test results?
>>
[quoted text clipped - 14 lines]
>>There is more if anyone can translate this into something
>>meaningful.

>Why do you ask to interpret these results?

Because I can't do it myself.

>And why did you, or your doctor,  take this blood test?

To get the results.

> It makes a
>difference if you take a test for screening purposes, or if you have
>specific complaints.
>And, why do you give only a part of the results?

Because I didn't see the point in taking up bandwidth if there is
no-one here who can interpret them. Hence, "There is more if
anyone can translate this into something meaningful."

> Again, it depends on
>the context in which the test is taken - the predictive values are
>depending on your a priori chances.  So, you need to know what gender
>and age you have, what diseases you have (had), what your complaints
>are,  et cetera.

I am a 45 year old male. I cannot possibly remember what (or all)
diseases I have had, other than septicaemia and a lung infection,
a couple of years ago.

>The values you give are within the "normal" range, this probably is
>mentioned on the report too. "Normal" means 95% of the population.
>But this does not mean you are healthy at all.

So they mean precisely sod all? So if I had Typhoid, HIV+, organ
damage due to alcohol abuse, an STD, etc., this would not be
indicated either way.

That is what I suspected. What I need is a full screening for any
potential ailment, disease or internal organ failure, et cetera.
bae@cs.toronto.no-uce.edu - 07 Jan 2005 23:45 GMT
>>Why do you ask to interpret these results?
>
>Because I can't do it myself.

That's what your doctor is for.  Did he just hand you a sheet of paper,
or did he say something like "All your blood tests are normal"?

>>And why did you, or your doctor,  take this blood test?
>
>To get the results.

Normal results are results too.

>>The values you give are within the "normal" range, this probably is
>>mentioned on the report too. "Normal" means 95% of the population.
[quoted text clipped - 3 lines]
>damage due to alcohol abuse, an STD, etc., this would not be
>indicated either way.

Well, you only posted a few of the blood cytology results.  If your
white cells are normal in number and kind, you probably don't have a
serious infection or leukemia or several other conditions.  If your
red cells and hemoglobin are normal, you probably don't have any of
a large number of conditions that cause anemia.

If any of the results were abnormal, the doctor would follow them further
to determine the root cause.

As for the other conditions you list, further down the report there will
be values for various other tests that are abnormal when your liver or
kidneys or whatever are in trouble.  If they are normal, your liver and
kidneys, etc, are probably okay.

If you're at risk for HIV or an STD, you should tell the doctor so he can
order the special tests that are used to diagnose these conditions.  Ditto
for typhoid or any other disease not often found in developed countries.

So no, they don't mean "sod all".  If they are normal, they tend to rule out
a large number of medical problems.  Any that are significantly abnormal
may warrant further investigation.  But note that since these tests are
based on 95% of healthy people, it's pretty common to have a few that are
outside the normal range without it meaning anything.

>That is what I suspected. What I need is a full screening for any
>potential ailment, disease or internal organ failure, et cetera.

There is no such thing.  If you have some specific symptoms you can describe
them to your doctor and he can investigate.  If you just feel crummy, or
feel okay but want to know if you are healthy, a set of screening
tests like this is a way of spotting many problems, and indicating what's
worth following up further.

Note that your doctor is more likely to be willing to talk to you and explain
things in detail if you don't exhibit an adversary attitude.
Howard McCollister - 08 Jan 2005 02:32 GMT
On Fri, 07 Jan 2005 17:10:47 +0000, Mike <find@reply.to> wrote:

>>Anyone here know how to interpret blood test results?
>>
[quoted text clipped - 14 lines]
>>There is more if anyone can translate this into something
>>meaningful.

This is a normal CBC. It tells us nothing about what diseases you might
have - it only tells us some things you don't have. Taken in context with a
medical history and physcal exam, and possibly other tests, your blood test
might be useful. By itself, it means nothing.

HMc
Manky Badger - 07 Jan 2005 20:25 GMT
> Anyone here know how to interpret blood test results?
>
[quoted text clipped - 14 lines]
> There is more if anyone can translate this into something
> meaningful.

Sorry to sound unhelpful, but where did you get the blood test? - Was it a
"walk in for a blood test" ?
How can you get these results without obtaining any advice at the same time
?
habshi - 07 Jan 2005 20:46 GMT
BLOOD TEST REFERENCE RANGE CHART  
Test
Reference Range (conventional units*)

Acidity (pH)  7.35 - 7.45  
Alcohol  0 mg/dL (more than 0.1 mg/dL normally indicates intoxication)
(ethanol)  
Ammonia  15 - 50 ?g of nitrogen/dL  
Amylase  53 - 123 units/L  
Ascorbic Acid  0.4 - 1.5 mg/dL  
Bicarbonate  18 - 23 mEq/L (carbon dioxide content)  
Bilirubin  Direct: up to 0.4 mg/dL
Total: up to 1.0 mg/dL  
Blood Volume  8.5 - 9.1% of total body weight  
Calcium  8.5 - 10.5 mg/dL (normally slightly higher in children)
Carbon Dioxide Pressure  35 - 45 mm Hg  
Carbon Monoxide  Less than 5% of total hemoglobin  
CD4 Cell Count  500 - 1500 cells/?L
Ceruloplasmin  15 - 60 mg/dL
Chloride  98 - 106 mEq/L
Complete Blood Cell Count (CBC)  Tests include: hemoglobin,
hematocrit, mean corpuscular hemoglobin, mean corpuscular hemoglobin
concentration, mean corpuscular volume, platelet count, white Blood
cell count
Please click each to view an individual test value.
Copper  Total: 70 - 150 ?g/dL  
Creatine Kinase (CK or CPK)  Male: 38 - 174 units/L
Female: 96 - 140 units/L  
Creatine Kinase Isoenzymes  5% MB or less  
Creatinine  0.6 - 1.2 mg/dL  
Electrolytes  Test includes: calcium, chloride, magnesium, potassium,
sodium
Please click each to view an individual test value.
Erythrocyte Sedimentation Rate (ESR or Sed-Rate)  Male: 1 - 13 mm/hr
Female: 1 - 20 mm/hr  
Glucose  Tested after fasting: 70 - 110 mg/dL  
Hematocrit  Male: 45 - 62%
Female: 37 - 48%  
Hemoglobin  Male: 13 - 18 gm/dL
Female: 12 - 16 gm/dL  
Iron  60 - 160 ?g/dL (normally higher in males)  
Iron-binding Capacity  250 - 460 ?g/dL  
Lactate (lactic acid)  Venous: 4.5 - 19.8 mg/dL
Arterial: 4.5 - 14.4 mg/dL  
Lactic Dehydrogenase  50 - 150 units/L  
Lead  40 ?g/dL or less (normally much lower in children)  
Lipase  10 - 150 units/L  
Zinc   B-Zn  70 - 102 ?mol/L  
Lipids:  
  Cholesterol  Less than 225 mg/dL (for age 40-49 yr; increases with
age)  
  Triglycerides  10 - 29 years    53 - 104 mg/dL
30 - 39 years    55 - 115 mg/dL
40 - 49 years    66 - 139 mg/dL  
50 - 59 years    75 - 163 mg/dL
60 - 69 years    78 - 158 mg/dL
  >  70 years    83 - 141 mg/dL
Liver Function Tests  Tests include bilirubin (total), phosphatase
(alkaline), protein (total and albumin), transaminases (alanine and
aspartate), prothrombin (PTT)
Please click each to view an individual test value.  
Magnesium  1.5 - 2.0 mEq/L  
Mean Corpuscular Hemoglobin (MCH)  27 - 32 pg/cell  
Mean Corpuscular Hemoglobin Concentration (MCHC) 32 - 36%
hemoglobin/cell  
Mean Corpuscular Volume (MCV)  76 - 100 cu ?m  
Osmolality  280 - 296 mOsm/kg water  
Oxygen Pressure  83 - 100 mm Hg  
Oxygen Saturation (arterial)  96 - 100%
Phosphatase, Prostatic  0 - 3 units/dL (Bodansky units) (acid)
Phosphatase  50 - 160 units/L (normally higher in infants and
adolescents) (alkaline)  
Phosphorus  3.0 - 4.5 mg/dL (inorganic)  
Platelet Count  150,000 - 350,000/mL
Potassium  3.5 - 5.0 mEq/L
Prostate-Specific Antigen (PSA)  0 - 4 ng/mL (likely higher with age)

Proteins:  
  Total  6.0 - 8.4 gm/dL
  Albumin  3.5 - 5.0 gm/dL
  Globulin  2.3 - 3.5 gm/dL
 
Prothrombin (PTT)  25 - 41 sec  
Pyruvic Acid  0.3 - 0.9 mg/dL
Red Blood Cell Count (RBC)  4.2 - 6.9 million/?L/cu mm  

Sodium  135 - 145 mEq/L  
Thyroid-Stimulating Hormone (TSH)  0.5 - 6.0 ? units/mL  
Transaminase:  
  Alanine (ALT)  1 - 21 units/L  
  Aspartate (AST)  7 - 27 units/L  
 
Urea Nitrogen (BUN)  7 - 18 mg/dL  
BUN/Creatinine Ratio 5 - 35
Uric Acid  Male     2.1 to 8.5 mg/dL (likely higher with age)
Female     2.0 to 7.0 mg/dL (likely higher with age)
Vitamin A  30 - 65 ?g/dL  
White Blood Cell Count (WBC) 4,300 - 10,800 cells/?L/cu mm  
*Please visit our measurement and abbreviation pages.  

Blood Test Kits
View "What Does My Blood Test Mean Pages?"  
There is more about Blood, indexed by category, Please CLICK HERE.

BODY SURFACE AREA CALCULATOR  

(weight (kg) x 0.425) x (height (cm) x 0.725)

 
139.315





IDEAL BODY WEIGHT CALCULATOR

    Male: 50 Kg + (# inches > 5 ft x 2.3)  

    Female: 45.5 Kg + (# inches > 5 ft x 2.3)
habshi - 07 Jan 2005 20:46 GMT
Anyone here know how to interpret blood test results?

Here are some to get started (view with FP font)...

FBC
 WBCs                    6.2 10*9/L
 RBCs                    5.19 10*12/L
 HB                    16.0 g/dl
 Red blood cell distribution width    12.6
 Platelet count            275 10*9/L
 etc..
Differential white cell count
 Neutrophil count            3.10 10*9/L
 Lymphocyte count            2.41 10*9/L
 etc..

There is more if anyone can translate this into something
meaningful.

Thanks,
Mike.
habshi - 07 Jan 2005 20:46 GMT
http://www.bloodbook.com/ranges.html
    Normal values one ignores . Abnormal ones can mean a hundred
different causes . Eg HB - normal 2-18 . If you result is say 6 , you
dont have enough HB to carry oxygen around and it could be due to
cancer , poor appetite , chronic disease , parasites like malaria
attacking the red cells etc.

Anyone here know how to interpret blood test results?

Here are some to get started (view with FP font)...

FBC
 WBCs                    6.2 10*9/L  Normal 4-11
 RBCs                    5.19 10*12/L
 HB                    16.0 g/dl  Normal 12-18
 Red blood cell distribution width    12.6
 Platelet count            275 10*9/L
 etc..
Differential white cell count
 Neutrophil count            3.10 10*9/L
 Lymphocyte count            2.41 10*9/L
 etc..

There is more if anyone can translate this into something
meaningful.

Thanks,
Mike.
Manky Badger - 08 Jan 2005 13:42 GMT
> http://www.bloodbook.com/ranges.html
> Normal values one ignores .

Really ?
Were this an examination answer, that comment alone is sufficient to fail
the paper.

>Abnormal ones can mean a hundred
> different causes . Eg HB - normal 2-18 . If you result is say 6 , you
> dont have enough HB to carry oxygen around and it could be due to
> cancer , poor appetite , chronic disease , parasites like malaria
> attacking the red cells etc.

2-18? Let's assume that you actualy mean 12-18 g/l.

An Hb of 17.5 in a newborn is to be expected.
An Hb of 17.5 in a fourteen year old girl is VERY abnormal and warrants
immediate urgent investigation.
Mike - 08 Jan 2005 16:18 GMT
>An Hb of 17.5 in a newborn is to be expected.
>An Hb of 17.5 in a fourteen year old girl is VERY abnormal and warrants
>immediate urgent investigation.

So what about mine then?

I'm a 45 year old bloke and my Hb is 16, so what does that mean?
Manky Badger - 08 Jan 2005 17:27 GMT
>>An Hb of 17.5 in a newborn is to be expected.
>>An Hb of 17.5 in a fourteen year old girl is VERY abnormal and warrants
[quoted text clipped - 3 lines]
>
> I'm a 45 year old bloke and my Hb is 16, so what does that mean?

Whilst at first sight this would seem "in the normal range" for a male of
that age, you've made no mention of your medical history, clinical symptoms
& previous results.
If you are a chap with an Hb of 16g/dl who's Hb has previously consistently
run at 13g/dl, then alarm bells might ring.

You have Hb of 16g/dl - this result is pretty meaningless on its own.
There are perfectly healthy people and terminally ill people with an Hb of
16g/dl.

Presumably you're "ill" in the first place to warrant having a blood count ?
A "normal" blood test result doesn't rule out disease. You REALLY can't take
these numbers in isolation. Interpretation of a blood test is more than a
set of numbers - it involoves clinical assessment of the patient too.
Mike - 08 Jan 2005 23:34 GMT
>>>An Hb of 17.5 in a newborn is to be expected.
>>>An Hb of 17.5 in a fourteen year old girl is VERY abnormal and warrants
[quoted text clipped - 6 lines]
>Whilst at first sight this would seem "in the normal range" for a male of
>that age, you've made no mention of your medical history,

"I cannot possibly remember what (or all)
diseases I have had, other than septicaemia and a lung infection,
a couple of years ago."

>clinical symptoms

Achy pains in the abdomen and kidneys.

>& previous results.

These are the previous and current results.

>If you are a chap with an Hb of 16g/dl who's Hb has previously consistently
>run at 13g/dl, then alarm bells might ring.
[quoted text clipped - 4 lines]
>
>Presumably you're "ill" in the first place to warrant having a blood count ?

Not "ill", just concerned.

>A "normal" blood test result doesn't rule out disease. You REALLY can't take
>these numbers in isolation. Interpretation of a blood test is more than a
>set of numbers - it involoves clinical assessment of the patient too.

"I'm a 45 year old bloke and my Hb is 16, so what does that
mean?"
Manky Badger - 08 Jan 2005 23:58 GMT
>>clinical symptoms
>
[quoted text clipped - 3 lines]
>
> These are the previous and current results.

> "I'm a 45 year old bloke and my Hb is 16, so what does that
> mean?"

The Hb of this level doesn't really cast any light on the symptoms you've
described.
Mike - 10 Jan 2005 09:38 GMT
>>>clinical symptoms
>>
[quoted text clipped - 9 lines]
>The Hb of this level doesn't really cast any light on the symptoms you've
>described.

Interesting. My doctor said that reading was "good".
Manky Badger - 10 Jan 2005 19:42 GMT
>>> "I'm a 45 year old bloke and my Hb is 16, so what does that
>>> mean?"
[quoted text clipped - 3 lines]
>
> Interesting. My doctor said that reading was "good".

I think if you ask him he'll mean "good"  in that it's probably not
indicative of anything untoward as opposed to "bad" where it might be.
Howard McCollister - 09 Jan 2005 15:09 GMT
> "I'm a 45 year old bloke and my Hb is 16, so what does that
> mean?"

It means nothing.

HMc
Mike - 10 Jan 2005 10:01 GMT
>> "I'm a 45 year old bloke and my Hb is 16, so what does that
>> mean?"
>
>It means nothing.

As I thought.  Please see my other post about blood pressure.
 
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