OVERVIEW OF THE MOST FREQUENT ABNORMALITIES IN THE COMPLETE BLOOD COUNT RESULTS IN EMERGENCY SETTING AND RECOGNITION OF EMERGENCY CONDITIONS

Authors

  • Gaja Cvejić Vidali Klinični oddelek za hematologijo, Univerzitetni klinični center Ljubljana
  • Samo Zver Klinični oddelek za hematologijo, Univerziteni klinični center Ljubljana
  • Helena Podgornik Klinični oddelek za hematologijo, Univerziteni klinični center Ljubljana

DOI:

https://doi.org/10.6016/ZdravVestn.1287

Keywords:

complete blood count, abnormalities in complete blood count, emergency setting, red cell line, white cell line, thrombocyte cell line

Abstract

Complete blood count is basic investigation in medicine. It gives us necessary information for acutely sick patient's diagnostic and treatment. We describe the most frequent etiology of red, white and thrombocyte cell lines abnormalities and give notice on conditions who require immediate measures.

We had analyzed 1297 complete blood count results of patients who sought medical help in Emergency setting of Ljubljana's health care center from 1.1. 2014 to 31.1. 2014.

Every fourth patient treated in the emergency setting had abnormalities in complete blood count. The most frequent finding was leucocytosis, following normocyte anemia and erytrocite's morphological abnormalities without laboratory signs of anemia. Every tenth patient had abnormalities in two or three cell lines.

Complete blood count is probably the most basic investigation in medicine. From the results we can suspect on many different pathologies. Differential blood count should be ordered if we find abnormalities in complete blood count. Physicians should read and evaluate complete blood count with the same dedication as we read electrocardiogram.

Downloads

Download data is not yet available.

References

Andoljšek D, et al. Bolezni krvi in krvotvornih organov. In: Kocijančič A, Mrevlje F, Štajer D, Koželj M, Černelč P, eds. Interna medicina. 3rd ed. Ljubljana: Littera picta, 2011: 1243-393.

Fraser T, Tyliard M. Complete blood count in primary care. Bpac, 2006. Doseženo junija 2014 na http://www.bpac.org.nz/resources/campaign/cbc/bpac_cbc_in_primary_care.pdf.

Doseženo junija 2014 na www.zd-lj.si.

Doseženo junija 2014 na www.lab.biarti.si.

WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva, World Health Organization, 2011. Doseženo oktobra 2014 na http://www.who.int/ vmnis/indicators/haemoglobin.pdf.

Rodgers GP, Young NS. The Bethesda handbook of Clinical hematology. 3rd ed. Philadelphia: Lippincot Williams & Wilkins, 2013.

Hoffbrand AV, Moss PAH. Essential haematology. 6th ed. Oxford: Wiley-Blackwell, 2012.

Bunn FH, Atser JC. Pathophysiology of blood disorders. New York: A Lange medical book, 2011.

Greer JP, Arber DA, Glader B, et al. Wintrobe's clinical hematology. 13th ed. Lippincot Williams & Wilkins, 2013.

Hoffbrand VA. Megaloblastic anemias. In: Longo LD, Fauci AS, Kasper DL. et al. Harrison's principals of internal medicine. 18th ed. New York: McGraw-Hill, 2012: 862-71.

Iselin BM, Willimann PFX, Seifert B. Isolated reduction of haematocrit does not compromise in vitro blood coagulation. British Journal of Anaesthesia 2001; 87 (2): 246-9.

Skopec B, Zver S. Reaktivne spremembe krvne slike in osnove zdravljenja anemije zaradi pomanjkanja železa. Zdrav Vest 2008; 77: 1-161-5.

Buss DH, Cashell AW, O'Conner ML, et al. Occurence, ethiology and clinical significance of extreme thrombocytosis: A study of 280 cases. Am J Med 1994; 96: 247.

Stasi R. How to approach thrombocytopenia. Evidence-based approaches to cytopenias (internet). American society of hamatology, 2012. Doseženo oktobra 2014 na http://asheducationbook.hematologylibrary.org/.

Koury JM, Rhodes M. How to approach chronic anemia. Evidence-based approaches to cytopenias (internet). American society of hamatology, 2012. Doseženo oktobra 2014 na http://asheducationbook.hematologylibrary.org/.

Longmore M, Wilkinson I, Turmezei T. Oxford handbook of clinical medicine. 7th ed. Oxford: Oxford University Press, 2008: 541.

Regueiro M, Mardini H. Determination of thiopurine methyltransferase genotype or phenotype optimizes initial dosing of azathioprine for the treatment of Crohn's disease. J Clin Gastroenterol 2002; 35 (3): 240-4.

Longo DL, Faucy A, Kaspar DL. Harrison's principles of internal medicine. 18th ed. New York: McGraw-Hill, 2012: 907.

Published

2015-10-06

Issue

Section

Original article

How to Cite

1.
OVERVIEW OF THE MOST FREQUENT ABNORMALITIES IN THE COMPLETE BLOOD COUNT RESULTS IN EMERGENCY SETTING AND RECOGNITION OF EMERGENCY CONDITIONS. ZdravVestn [Internet]. 2015 Oct. 6 [cited 2024 Nov. 2];84(9). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1287

Most read articles by the same author(s)

1 2 3 4 5 > >>