Are the red blood cell count of 5.15 ×10⁶/µL, hemoglobin of 142 g/L, and hematocrit of 0.428 within normal limits for an 11‑year‑old child?

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Normal Hemoglobin and Hematocrit Values for an 11-Year-Old

These laboratory values are completely normal for an 11-year-old child. The RBC count of 5.15 ×10⁶/µL, hemoglobin of 142 g/L (14.2 g/dL), and hematocrit of 0.428 (42.8%) all fall well within expected reference ranges for this age group.

Age-Specific Reference Values

For school-age children (6-11 years), mean hemoglobin values range from 12.4-13.2 g/dL (123.7-131.8 g/L). 1 The reported hemoglobin of 14.2 g/dL exceeds the mean range, placing this child in a healthy, robust position on the reference curve. 1

  • The hematocrit of 42.8% is proportionate to the hemoglobin level and demonstrates normal red blood cell concentration 2
  • The RBC count of 5.15 ×10⁶/µL is within normal limits for this age group 3

Clinical Context and Interpretation

No further evaluation or intervention is needed based on these values alone. These parameters indicate:

  • Adequate oxygen-carrying capacity: The hemoglobin level is well above the anemia screening threshold of 11.0 g/dL used by the CDC for children 1
  • No evidence of anemia: Values are substantially higher than diagnostic thresholds for iron deficiency or other nutritional anemias 1
  • Normal erythropoiesis: The RBC count and hemoglobin relationship suggests appropriate red blood cell production 3

Important Caveats

Consider altitude adjustment if applicable. If this child lives at significant elevation, hemoglobin values naturally increase by approximately 0.2 g/dL per 1,000 meters above sea level, though this would only make the values appear even more robust. 1

Race-specific considerations exist but do not apply here. African-American children typically have hemoglobin concentrations 0.5-0.9 g/dL lower than other racial groups, but this child's values are well above any race-adjusted thresholds. 1

Clinical assessment supersedes laboratory values. While these numbers are reassuring, any concerning symptoms (fatigue, pallor, exercise intolerance) would warrant further evaluation regardless of normal CBC parameters. 1

References

Guideline

Hemoglobin Levels in Children

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Research

Relationship between haemoglobin and haematocrit in the definition of anaemia.

Tropical medicine & international health : TM & IH, 2006

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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.

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