Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 does the patient smoke? Phyto Research Ltd Innovation Centre Epinal Way Loughborough le11 3eh Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 A patient had blood tests for suspected gout, which came back negative, but he had elevated levels of red blood corpuscles, which his GP could not explain but thought it may be due to his high intake of alcohol. Can anyone elaborate on this, or advise other scenarios that result in elevated red corpuscles. Thanks. Liz Lillicrap Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 Sorry, forgot to say that I did not see the results, but patient though the red blood corpuscle level was higher. Thought it may make more sense if the RBC count was lower? GP seemed unconcerned anyway. Elevated red corpuscles > A patient had blood tests for suspected gout, which came back negative, but > he had elevated levels of red blood corpuscles, which his GP could not > explain but thought it may be due to his high intake of alcohol. > > Can anyone elaborate on this, or advise other scenarios that result in > elevated red corpuscles. > > Thanks. > Liz Lillicrap > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 No - he has never smoked. Would that make a difference to rbcs? Re: Fw: Elevated red corpuscles > does the patient smoke? > > Phyto Research Ltd > Innovation Centre > Epinal Way > Loughborough > le11 3eh > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 Hello Tami increased RBC would raise ESR by pure bulk alone , and can mask a raised ESR which is simply a measure of increased blood proteins usually indicating inflammation. The ESR is a very simple test where anticoagulated blood is put into a clear graduated thin plastic tube, and is the column length of clear plasma that appears when the blood has been left for one hour. It is also affected by the number of RBC present. High RBC levels will affect BP and clotting just by pressure of numbers but doesn't greatly affect clotting. High platelet count isn't an issue by itself (unless it is extremely high - pretty rare - when it could cause intravascular coagulation) however sometimes the platelets themselves are abnormal, in which case clotting would be slower/reduced and bleeding would be a problem. I would say that I am now some years out of haematology so am probably becoming out of date - although it may be that some things don't change regards Herbert Re: Elevated red corpuscles > I'm curious...Would the increased RBC's put someone at risk of increased > ESR > and possibly increased BP and clotting issues? Or, is that mainly an > issue > with high platelet count alone...? Just wonderin'.... Thx for anyone who > might have perspective.... > Tami > NJ USA >> (I spent 20 years working in haematology and blood transfusion) > > > > List Owner: Graham White, MNIMH > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 I'm curious...Would the increased RBC's put someone at risk of increased ESR and possibly increased BP and clotting issues? Or, is that mainly an issue with high platelet count alone...? Just wonderin'.... Thx for anyone who might have perspective.... Tami NJ USA > (I spent 20 years working in haematology and blood transfusion) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2006 Report Share Posted February 5, 2006 I am also a few years out of haematology but would you agree that raised rbcs without knowledge of mch and mchc does not tell us much. Would it be an idea to get the patient to enquire about the rest of the results if they are concerned which will allow a more thorough interpretation? Whitton Phyto Research Ltd 30 Crafton Street West Leicester LE1 2DE Tel 0 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2006 Report Share Posted February 6, 2006 Hello yes, rbc count alone is of little value, really you need all parameters to give an opinion as to the situation. I would also want to know the MCV - are the red cells large or small ?- lots of tiny rbc are less of a problem mechanically but may indicate an iron def or a hamoglobinopathy - and the Hb - if Hb is high then that indicates more of a mechanical problem with a raised RBC. MCH and MCHC are most useful if there is an iron deficiency, and in determining the cause of anaemia - ie due to blood loss or deficiency of iron or folate/B12 regards Re: Elevated red corpuscles > > I am also a few years out of haematology but would you agree that raised > rbcs without knowledge of mch and mchc does not tell us much. > Would it be an idea to get the patient to enquire about the rest of the > results if they are concerned which will allow a more thorough > interpretation? > Whitton > > Phyto Research Ltd > 30 Crafton Street West > Leicester > LE1 2DE > Tel 0 > > > Quote Link to comment Share on other sites More sharing options...
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