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CBC

Also called: Red Blood Cell Count, Blood Count, Complete Blood Count, Hematocrit Calculation, Platelet Count, White Blood Cell Count, Hemoglobin Count, Differential Blood Count

- Summary
- About complete blood counts
- Components of the test
- Abnormal results
- Frequency of testing
- Questions for your doctor

Reviewed By:
Kerry Prewitt, M.D., FACC
Sumit Verma, M.D., FACC
Robert I. Hamby, M.D., FACC, FACP

Abnormal CBC results

Abnormal levels of one or all parts of a CBC may indicate a variety of conditions, as shown below:

  • Red blood cell tests. High levels of RBC, hematocrit or hemoglobin indicate a lack of fluid in the body. This may be caused by smoking, congenital heart disease (cardiac abnormality, defect or malformation that is present from birth), dehydration or kidney disease. Low levels are usually an indicator of anemia, which could be caused by blood loss, malnutrition or leukemia.

  • White blood cell tests. High WBC levels may indicate a heart attack, infection or an inflammatory disease such as rheumatoid arthritis. Severe emotional stress or tissue damage, such as burns, can also cause an elevated WBC. Low levels can be caused by kidney or liver disease, radiation exposure or the presence of a toxic substance in the body. The WBC differential can also help to determine the cause of high WBC levels. For instance, neutrophil increases usually indicate a heart attack or infection, lymphocyte increases can be a sign of leukemia and increased eosinophils can be a sign of an allergic reaction.

  • Platelet tests. Platelet levels may be increased by severe bleeding, infection, strenuous exercise, pregnancy and other factors. Low levels are usually caused by an infection, cancer or a lack of either folic acid or vitamin B-12.

Frequency of CBC testing

Most patients have a CBC done for screening or diagnostic purposes and will not need regular testing. However, the CBC is also used as a monitoring device for patients undergoing some types of chemotherapy or radiation therapy for cancer.

Researchers have recently found that measuring white blood levels may help predict long-term outcomes after certain procedures, such as balloon angioplasty. Tracking a patient's white blood cell count following a heart attack may also predict the short-term risk of death.

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Review Date: 04-24-2007

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