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FREE BLOOD COUNTS PDF Martin O'Brien | 368 pages | 01 May 2014 | Cornerstone | 9781848090590 | English | London, United Kingdom What are low blood counts? | Aplastic Anemia & MDS International Foundation A complete blood count CBCalso known as a full blood count FBCis a set of medical laboratory tests that provide information about the cells in a person's blood. The CBC indicates the amounts of white blood cellsred blood cells and plateletsthe concentration of hemoglobinand the hematocrit the volume percentage of red blood cells. The red Blood Counts cell indiceswhich indicate the average size and hemoglobin content of red blood cells, are also reported, and a white blood cell differentialwhich counts the different types of Blood Counts blood cells, may be included. The CBC is often carried out as part of a medical assessment, and can be used to monitor health or diagnose diseases. The results are interpreted by comparing them to reference rangeswhich vary with gender and age. Conditions like anemia and thrombocytopenia are defined by abnormal complete blood count results. The red blood cell indices can provide information about the cause of a person's anemia such as iron deficiency and vitamin B12 deficiencyand the results of the white blood cell differential can help to diagnose viralbacterial and parasitic infections and blood disorders like leukemia. Not all results falling outside of the reference range require medical intervention. The CBC is performed using basic laboratory equipment or an automated hematology analyzerwhich counts red and white Blood Counts cells and platelets and collects information on their size Blood Counts structure. The concentration of hemoglobin is measured, and the red blood cell indices are calculated from measurements of red Blood Counts cells and hemoglobin. Manual tests can Blood Counts used to independently confirm abnormal results. The hematocrit can be determined manually by centrifuging the sample and measuring the proportion of red blood cells, and in laboratories without access to automated instruments, blood cells are counted under the microscope using a hemocytometer. InKarl Vierordt published the first procedure for performing a blood count, which involved spreading a known volume of blood on a microscope Blood Counts and counting every cell. The invention of the hemocytometer in by Louis-Charles Malassez simplified the microscopic analysis of blood cells, and Blood Counts the late 19th century, Paul Ehrlich and Dmitri Leonidovich Romanowsky developed Blood Counts for staining white and red blood cells that Blood Counts still used to examine blood smears. Automated methods for measuring hemoglobin were developed in the s, and Maxwell Wintrobe Blood Counts the Wintrobe hematocrit method inwhich in turn allowed him to define the red blood cell indices. A landmark in the automation of blood cell counts was the Coulter principlewhich Blood Counts patented by Blood Counts H. Coulter in The principle involves using electrical Blood Counts measurements to count blood cells and measure their sizes, a technology that remains in use in many automated analyzers. Further research in the s involved the use of optical measurements to count and identify cells, which enabled the automation of the white blood cell differential. Blood is composed of a fluid portion, called plasmaand a cellular portion that contains red blood cellswhite blood cells and platelets. Some medical conditions, such as anemia or thrombocytopeniaare defined by marked increases or decreases in blood cell counts. Because of the amount of information it provides, the complete blood count is one of the most commonly performed medical laboratory tests. The Blood Counts is often used to screen for diseases as part of a medical assessment. People who have been diagnosed with disorders that may cause abnormal CBC results or who are receiving treatments that can affect blood cell counts may have a regular CBC performed to monitor their health, [3] [11] and the test is often performed each day on people who are hospitalized. The complete blood count has specific applications in many medical specialties. It is often performed before Blood Counts person undergoes surgery to detect anemia, ensure that platelet levels are sufficient, and screen for infection, [14] [15] as well as after surgery, so that blood loss can be monitored. The complete blood count is an essential tool of hematologywhich is the study of the cause, prognosis, treatment, Blood Counts prevention of Blood Counts related to blood. Examination of the CBC results and the blood smear can help to distinguish between causes of anemia, such as nutritional deficienciesbone marrow disordersacquired hemolytic anemias and inherited conditions like sickle cell anemia and thalassemia. The sample is collected by drawing blood into a tube containing an anticoagulant —typically EDTA —to stop its natural clotting. On board the analyzer, the sample is agitated to evenly distribute the cells, then diluted and partitioned into at least two channels, one of which is used to count red blood cells and platelets, the other to count white blood cells and determine the hemoglobin concentration. Some instruments measure hemoglobin in a separate Blood Counts, and additional channels may be used for differential white blood cell counts, reticulocyte Blood Counts and specialized measurements of platelets. To measure the hemoglobin concentration, a reagent chemical is Blood Counts to the sample to destroy lyse the red cells in Blood Counts channel separate from that used for red blood Blood Counts counts. On analyzers that perform white blood cell counts in the same channel as hemoglobin measurement, this permits white blood cells to be counted more easily. Chemicals are used to convert different forms of hemoglobin, such Blood Counts oxyhemoglobin and carboxyhemoglobinto one stable form, usually cyanmethemoglobin Blood Counts, and to create a permanent colour change. The absorbance of the resulting colour, when measured at a specific wavelength—usually nanometres —corresponds with the concentration of hemoglobin. Sensors count and identify the cells in the sample using two main principles: electrical impedance and light scattering. The amplitude of the voltage pulse generated as a cell crosses the aperture correlates with the amount of fluid displaced by the cell, and thus the cell's volume, Blood Counts [60] while the total number of pulses correlates with the number of cells in the sample. The distribution of cell volumes is plotted on a histogramand by setting volume thresholds based on the typical sizes of each type of cell, the different cell populations can be identified and counted. In light scattering techniques, light from a laser or a tungsten-halogen lamp is directed at the stream of cells to collect information about their size and structure. Cells scatter light at different angles as they pass through the beam, which is detected using photometers. Radiofrequency -based methods can be Blood Counts in combination with impedance. These techniques work on the same principle of measuring the interruption in current as cells pass through an aperture, but since the high-frequency RF current penetrates into the cells, the amplitude of the resulting pulse relates to factors like Blood Counts relative size of the nucleusthe nucleus's structure, and the amount of granules in the cytoplasm. Most analyzers directly measure the average size of red blood cells, which is called the mean Blood Counts volume MCVand calculate the hematocrit by multiplying the red blood cell count by the MCV. Some measure the Blood Counts by comparing the total volume of red blood cells to the volume of blood sampled, and derive Blood Counts MCV from the hematocrit and red blood cell count. After being treated with reagents, white blood cells form three distinct peaks when their volumes are plotted on a histogram. These peaks correspond to populations of granulocytesmononuclear cells and lymphocytes, allowing a three-part Blood Counts to be performed based on cell volume alone. The data collected from these measurements is analyzed and plotted on a Blood Countswhere it forms clusters that correlate with each white Blood Counts cell type. The cell images are displayed to a human operator, who can manually re-classify the cells if necessary. Most analyzers take less than a minute Blood Counts run all the Blood Counts in the complete blood count. Point-of-care testing refers to tests conducted outside of the laboratory setting, such as at a person's bedside or in a clinic. Commonly used devices for point-of-care hematology testing include the HemoCuea portable analyzer that uses Blood Counts to measure the hemoglobin Blood Counts of the sample, and the i-STATwhich derives a hemoglobin reading by estimating the concentration Blood Counts red blood cells from the conductivity of the blood. The tests can be performed manually when automated equipment Blood Counts not available or when the analyzer results indicate that further investigation is needed. To perform a manual white blood cell differential, the microscopist counts cells on the blood smear and Blood Counts them based on their appearance; sometimes cells are counted. The hematocrit can performed manually by filling a capillary tube with blood, centrifuging it, Blood Counts measuring the percentage of the blood that consists of red blood cells. Red and white blood cells and platelets can be counted using a hemocytometera microscope slide containing a chamber that holds a specified volume of diluted blood. The hemocytometer's chamber is etched with a calibrated grid to aid in cell counting, and the cells seen Blood Counts the grid are counted and divided by Blood Counts volume of blood examined, Blood Counts is determined from the number of squares counted on the grid, to obtain the concentration of cells in the sample. Manual platelet counts are Blood Counts in a similar manner, although some methods leave the red blood cells intact. Using a phase-contrast microscoperather than a light microscopecan make platelets easier to identify.