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" In a differential count, the presence of many band cells and their pecusors is

known as a shift to the left and indicates infection. A shift to the right

describes the presence of mature, hypersegmented neutrophils that have more

nuclear segments than normal; his commonly occurs with pernicious anemia and

hepatic disease. Increased band cells and low total WBC count reflect bone

marrow depression (as in typhoid

fever), known as a degenerative shift. A regenerative shift implies stimulation

of the bone marrrow (as in pneumonia and appendicitis and may be noted by

increased band cels, metamyelocytes and myelocytes

together with a high WBC count. "

from my nursing implications of Diagnostic tests,procedures ......

--

~~Pattie

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