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My recent routine blood tests report shows some values above the normal level. Please advice what is to be done HEMOGRAM (DC Detection, Flow Cytometry, SLS, & Capillary photometry) Hemoglobin 12.70 g/dL 13.00 - 17.00 Packed Cell Volume (PCV) 41.00 % 40.00 - 50.00 RBC Count 5.06 mill/mm3 4.50 - 5.50 MCV 81.00 fL 80.00 - 100.00 MCH 25.10 pg 27.00 - 32.00 MCHC 31.00 g/dL 32.00 - 35.00 Red Cell Distribution Width (RDW) 16.90 % 11.50 - 14.50 Total Leukocyte Count (TLC) 18.63 thou/mm3 4.00 - 10.00 Differential Leucocyte Count (DLC) Segmented neutrophil 19.40 % 40.00 - 80.00 Lymphocytes 76.00 % 20.00 - 40.00 monocyte 4.20 % 2.00 - 10.00 eosinophil 0.30 % 1.00 - 6.00 basophil 0.10 % <2.00 Absolute Leucocyte Count neutrophil 2.00 - 7.00 3.61 thou/mm3 Lymphocytes 1.00 - 3.00 14.16 thou/mm3 monocyte 0.20 - 1.00 0.78 thou/mm3 eosinophil 0.02 - 0.50 0.06 thou/mm3 basophil 0.01 - 0.10 0.02 thou/mm3 Platelet Count 126.0 thou/mm3 150.00 - 450.00 There is leukocytosis with increase in lymphoid series of cells along with smudge cells and.
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You have raised White blood cell count along with smudge cells. Smudge cells�are remnants of�cells that lack any identifiable cytoplasmic membrane or nuclear structure. Smudge cells also called basket�cells, are most often associated with abnormally fragile lymphocytes in disorders such as chronic lymphocytic leukemia (CLL). It is better you seek an opinion of a haematologist who may run some additional tests. You haven't mentioned your symptoms too.
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