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Red Blood Cell Disorders Introduction



Red Blood Cell  Normal Indices
Diameter 7.5microns


Male
Female
Unit
Hemoglobin
13.5
12.5
Gm/dl
Hematocrit Hct
39-49
33-43
%
RBC count
4.2-5.6
3.8-5.0
Million/microlitre
Reticulocyte count
0.5-1.5

%
MCV
80-100

femtolitre
MCHC
33-35

Gm/dl
MCH
28-34

picogram
RDW
11.5-14.5


Mean cell volume (MCV): the average volume per red cell, expressed in femtoliters (cubic microns)
Mean cell hemoglobin (MCH): the average content (mass) of hemoglobin per red cell, expressed in picograms
Mean cell hemoglobin concentration (MCHC): the average concentration of hemoglobin in a given volume of packed red cells, expressed in grams per deciliter
Red cell distribution width (RDW): the coefficient of variation of red cell volume.

Polychromasia - RBCs of different colors
Anisocytosis - … different sizes
Poikilocytosis - … different shapes
Schistocytes - RBCs fragments
Echinocytes(burr cells) - RBCs with regular projections, seen in Renal disease
Acanthocytes(spur cells) - RBCs with irregular margins , seen in Liver disease

RBC Disorders
        Anemias
        Polycythemias

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