Normal Complete Blood Count - No Diagnosis Required
These laboratory values are entirely within normal limits for a 35-year-old male and do not indicate any hematologic disorder or require specific management. 1
Laboratory Value Analysis
All parameters fall within expected reference ranges:
White blood cell count (6.65 × 10³/μL): Normal range is typically 4.5-11.0 × 10³/μL, indicating appropriate immune function without leukocytosis or leukopenia 1
Hemoglobin (14.9 g/dL): Well above the anemia threshold of <13.0 g/dL for males, confirming normal oxygen-carrying capacity 1
MCV (84.6 fL): Falls within the normocytic range (80-100 fL), excluding macrocytic or microcytic processes 1, 2
MCH (26.7 pg): Normal range is 27-31 pg, essentially at the lower end of normal, consistent with the normal MCV 1
MCHC (31.5 g/dL): Within normal limits (32-36 g/dL), indicating appropriate hemoglobin concentration per red blood cell 1
RDW (13%): Normal range is 11.5-14.5%, indicating uniform red blood cell size distribution without significant anisocytosis 2
Platelet count (250 × 10³/μL): Normal range is 150-400 × 10³/μL, excluding thrombocytopenia or thrombocytosis 1
MPV (11.2 fL): Normal range is typically 7.5-11.5 fL, at the upper end of normal but not clinically significant in isolation with normal platelet count 3
Clinical Interpretation
No further hematologic workup is indicated based on these results alone. 1 The complete blood count demonstrates:
- Normal bone marrow function across all three cell lines (white cells, red cells, platelets) 1
- No evidence of anemia, as hemoglobin exceeds 13.0 g/dL for males 1
- No suggestion of iron deficiency, B12/folate deficiency, or hemolysis given the normal MCV and RDW 2, 4
- No indication of myeloproliferative disorders, which would typically show abnormalities in multiple cell lines or elevated counts 1
When to Reassess
Additional evaluation would only be warranted if:
- Clinical symptoms develop such as fatigue, bleeding, bruising, recurrent infections, or unexplained weight loss 1
- Physical examination findings suggest hematologic disease (lymphadenopathy, hepatosplenomegaly, petechiae) 1
- Serial monitoring shows progressive changes in any cell line over time 1
The slightly elevated MPV (11.2 fL) with normal platelet count has no clinical significance and does not require investigation in an asymptomatic patient with otherwise normal values 3, 5