Complete Blood Count, RBC Morphology and Inclusions

Complete Blood Count, RBC Morphology and Inclusions is a topic covered in the Davis's Lab & Diagnostic Tests.

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General

Synonym/Acronym:
N/A

Common Use:
To make a visual evaluation of the red blood cell (RBC) shape and/or size as a confirmation in assisting to diagnose and monitor disease progression.

Specimen:
Whole blood from one full lavender-top (EDTA) tube or Wright’s-stained, thin-film peripheral blood smear. The laboratory should be consulted as to the necessity of thick-film smears for the evaluation of malarial inclusions.

Normal Findings:
(Method: Microscopic, manual review of stained blood smear)

RBC MorphologyWithin Normal Limits1+2+3+4+
Size
Anisocytosis0–55–1010–2020–50Greater than 50
Macrocytes0–55–1010–2020–50Greater than 50
Microcytes0–55–1010–2020–50Greater than 50
Shape
Poikilocytes0–23–1010–2020–50Greater than 50
Burr cells0–23–1010–2020–50Greater than 50
AcanthocytesLess than 12–55–1010–20Greater than 20
SchistocytesLess than 12–55–1010–20Greater than 20
Dacryocytes (teardrop cells)0–22–55–1010–20Greater than 20
Codocytes (target cells)0–22–1010–2020–50Greater than 50
Spherocytes0–22–1010–2020–50Greater than 50
Ovalocytes0–22–1010–2020–50Greater than 50
Stomatocytes0–22–1010–2020–50Greater than 50
Drepanocytes (sickle cells)AbsentReported as present or absent
Helmet cellsAbsentReported as present or absent
AgglutinationAbsentReported as present or absent
RouleauxAbsentReported as present or absent
Hemoglobin (Hgb) Content
Hypochromia0–23–1010–5050–75Greater than 75
Polychromasia
AdultLess than 12–55–1010–20Greater than 20
Newborn1–67–1515–2020–50Greater than 50
Inclusions
Cabot ringsAbsentReported as present or absent
Basophilic stippling0–11–55–1010–20Greater than 20
Howell-Jolly bodiesAbsent1–23–55–10Greater than 10
Heinz bodiesAbsentReported as present or absent
Hgb C crystalsAbsentReported as present or absent
Pappenheimer bodiesAbsentReported as present or absent
Intracellular parasites (e.g., Plasmodium, Babesia, Trypanosoma)AbsentReported as present or absent

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Citation

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TY - ELEC T1 - Complete Blood Count, RBC Morphology and Inclusions ID - 425140 A1 - Bladh,Mickey Lynn, AU - Van Leeuwen,Anne M, BT - Davis's Laboratory & Diagnostic Tests UR - https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425140/all/Complete_Blood_Count__RBC_Morphology_and_Inclusions PB - F.A. Davis Company ET - 7 DB - Nursing Central DP - Unbound Medicine ER -