Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 20, 2025 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for Abnormal Blood Count

The patient's blood count shows a red blood cell (RBC) count of 3.94, hemoglobin of 11.6, and hematocrit of 37. Based on these values, the following differential diagnoses are considered:

  • Single Most Likely Diagnosis

    • Anemia of Chronic Disease: This condition is characterized by a decrease in hemoglobin and hematocrit levels, which is consistent with the patient's lab results. The RBC count is slightly below the normal range, which can be seen in anemia of chronic disease due to the body's decreased ability to produce erythropoietin.

  • Other Likely Diagnoses

    • Iron Deficiency Anemia: This is a common cause of anemia, especially in women. The patient's low hemoglobin and hematocrit levels could be indicative of iron deficiency anemia, although the RBC count is not significantly low.
    • Chronic Kidney Disease: Patients with chronic kidney disease often have anemia due to decreased erythropoietin production. The patient's lab results could be consistent with this diagnosis, especially if there are other signs of kidney disease.

  • Do Not Miss Diagnoses

    • Bleeding or Hemorrhage: Although the patient's RBC count is not significantly low, it is essential to rule out any underlying bleeding or hemorrhage, as this could lead to severe consequences if left untreated.
    • Myelodysplastic Syndrome: This is a group of disorders caused by poorly formed or dysfunctional blood cells. Although less likely, it is crucial to consider this diagnosis, as it can have severe consequences if left untreated.

  • Rare Diagnoses

    • Sickle Cell Disease: This is a genetic disorder that affects hemoglobin production. Although the patient's lab results do not strongly suggest this diagnosis, it is essential to consider it, especially if there are other signs or symptoms consistent with sickle cell disease.
    • Thalassemia: This is a genetic disorder that affects hemoglobin production. The patient's lab results could be consistent with thalassemia, although it is less likely. Further testing would be necessary to confirm this diagnosis.

Related Questions

Is it ever recommended to treat a urinary tract infection (UTI) without a urinalysis (UA) or urine analysis?
What is the best management approach for a patient with a frontal brain infarct, previously on Aspirin (acetylsalicylic acid) and Clopidogrel, who has crossed the window period for thrombolytic therapy?

Professional Medical Disclaimer

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.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.

Ask Question