Can you interpret this complete blood count (WBC 10.3 ×10³/µL, RBC 4.74 ×10⁶/µL, hemoglobin 14.4 g/dL, hematocrit 44.3 %, MCV 93.5 fL, MCH 30.4 pg, MCHC 32.5 g/dL, RDW 14.5 %, platelet 308 ×10³/µL, differential percentages and absolute counts) and tell me if any abnormalities are present?

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Last updated: September 11, 2026 • View editorial policy

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Complete Blood Count Interpretation

This CBC is entirely normal with all parameters falling within the provided reference ranges, and no clinical action is required.

Systematic Analysis of Results

Red Blood Cell Parameters - All Normal

  • RBC 4.74 ×10⁶/µL (reference: 3.75-5.00): Normal
  • Hemoglobin 14.4 g/dL (reference: 11.4-14.7): Normal
  • Hematocrit 44.3% (reference: 34.3-45.5): Normal
  • MCV 93.5 fL (reference: 80.5-99.8): Normocytic
  • MCH 30.4 pg (reference: 26.8-33.0): Normal
  • MCHC 32.5 g/dL (reference: 31.0-35.4): Normal
  • RDW 14.5% (reference: 11.7-14.7): Normal, indicating uniform red cell size

The normocytic, normochromic pattern with normal RDW excludes iron deficiency, vitamin B12/folate deficiency, and hemoglobinopathies 1.

White Blood Cell Parameters - All Normal

  • WBC 10.3 ×10³/µL (reference: 4.4-10.5): Upper normal limit
  • Absolute Neutrophil Count 6.6 ×10³/µL (reference: 1.5-7.5): Normal
  • Absolute Lymphocyte Count 2.8 ×10³/µL (reference: 1.0-4.8): Normal
  • Absolute Monocyte Count 0.6 ×10³/µL (reference: 0.0-0.8): Normal
  • Absolute Eosinophil Count 0.2 ×10³/µL (reference: 0.0-0.5): Normal
  • Absolute Basophil Count 0.1 ×10³/µL (reference: 0.0-0.2): Normal
  • Immature Granulocyte 0.03 ×10³/µL (reference: ≤0.06): Normal

The WBC at 10.3 sits at the upper reference limit but remains within normal range. All differential counts are appropriately distributed with no left shift or abnormal immature forms 1.

Platelet Parameters - All Normal

  • Platelet Count 308 ×10³/µL (reference: 139-361): Normal
  • MPV 9.1 fL (reference: 8.9-12.7): Normal
  • Nucleated RBC 0 ×10³/µL (reference: 0.00-0.03): Normal

The platelet count and size are normal, excluding thrombocytopenia or thrombocytosis.

Key Clinical Points

No abnormalities requiring bone marrow evaluation: All three cell lines (RBC, WBC, platelets) are normal. Guidelines recommend hematology consultation only when two or more cell lines show abnormalities 1.

No evidence of infection or inflammation: The immature granulocyte percentage (0.3%) and absolute count (0.03) are normal, which argues against acute bacterial infection. While immature granulocytes show promise as early infection markers, these values are reassuring 1.

No anemia present: The hemoglobin of 14.4 g/dL is solidly within normal range. The normocytic, normochromic pattern with normal RDW indicates no iron, B12, or folate deficiency 1.

Common Pitfalls to Avoid

  • Do not over-interpret the WBC at 10.3: This value sits at the upper reference limit but is not abnormal. Clinical context matters—if the patient is asymptomatic, this requires no action.
  • Do not order unnecessary iron studies: With normal MCV, MCH, MCHC, and RDW, iron deficiency is excluded 1.
  • Do not pursue hematology referral: Normal values across all three cell lines do not warrant specialist evaluation 1.

References

1
Guideline

clinical practice guidelines for evaluation of anemia.

Kidney International Supplements, 2008

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.