1st time Blood test - lui lui

My lui lui today 1st time need to take blood test for dengue fever after fever for a week.

The lab assistant took a tiny needle poke inside my lui lui left ring finger, then the assistant press my lui lui finger. The blood drop 1 by 1. The whole process last about 10 minutes to take 3 ml of blood. She cry throughout the whole process.

Luckily results came out to be negative.

Below is her results:

Haemoglobin - 13.3 g/dL (high side)
A high hemoglobin count indicates an above-average concentration of oxygen-carrying proteins in your blood. Hemoglobin (Hg or Hgb) is the main component of red blood cells.

Total RBC - 5.20 x 10^12/L (high side)
RDW - 13.5 % (Red Cell Distribution Width)

PCV - 41.7 % (high side) (Packed cell volume, a measure of the proportion of blood volume that is occupied by red blood cells)

The most common cause of increased PCV is dehydration, and with adequate fluid intake, the PCV returns to normal. However, it may reflect a condition called polycythaemia where there are too many red cells.
Primary polycythaemia (polycythaemia rubra vera or PRV)—is means the bone marrow is overproducing red blood cells of its own accord.
More commonly polycythaemia is a due to factors outside the bone marrow (secondary polycythaemia). Causes of secondary polycythaemia include:
  • Some lung or heart diseases where the bone marrow manufacturers more red blood cells in order to carry enough oxygen throughout your body
  • Excessive alcohol consumption
  • Smoking
  • Liver or kidney disease
  • Some tumours which can secrete erythropoietin (“epo”), stimulating the production of red blood cells
  • Rare inherited haemoglobins, which don’t release enough oxygen to the body

MCV - 80.2 f1 (Mean Corpuscular Volume)
MCH - 25.6 pg (Mean Corpuscular Hemoglobin: (Weight of hemoglobin in each cell)) - high
MCHC - 31.9 g/dL (Mean Corpuscular Hemoglobin Concentration) - high
Total WBC - 9.5 x 10 ^ 9 /L
Platelets - 273x10^9/L
Dengue NS1 Ag (Rapid)  - Negative






NEUTROPHILS: - My lui lui low
Increased by:
  • Infection; gonorrhea, osteomyelitis, otitis media, chickenpox, herpes, others
  • Ischemic necrosis due to MI, burns, carcinoma
  • Metabolic Disorders; diabetic acidosis, eclampsia, uremia, thyrotoxicosis
  • Stress Response; due to acute hemorrhage, surgery, emotional distress, others
  • Inflammatory disease; rheumatic fever, acute gout, vasculitis, myositis
Decreased by:
  • Bone marrow depression; due to radiation or cytotoxic drugs
  • Infections; such as typhoid, hepatitis, influenza, measles, mumps, rubella
  • hypersplenism; hepatic disease, storage disease
  • Collagen vascular disease; systemic lupus erythematosus
  • Deficiency of; folic acid or vitamin B12
Increased by:
  • Allergic disorders; asthma, hay fever, food or drug sensitivity, others
  • Parasitic infections; trichinosis, hookworm, roundworm, amebiasis
  • Skin Diseases; eczema, psoriasis, dermatitis, herpes, pemphigus
  • Neoplastic diseases; Hodgkin's disease, chronic myelocytic leukemia
  • Miscellaneous; collagen vascular disease, ulcerative colitis, pernicious anemia, scarlet fever, excessive exercise, others
Decreased by:
  • Stress response; due to trauma, shock, burns, surgery, mental distress, Cushing's Syndrome
Increased by:
  • Miscellaneous disorders; Chronic myelocytic leukemia, polycythemia vera, some chronic hemolytic anemias, Hodgkin's disease, myxedema, ulcerative colitis, chronic hypersensitivity states,
Decreased by:
  • Miscellaneous disorders; hyperthyroidism, ovulation, pregnancy, stress
Increased by:
  • Infections; pertussis, syphilis, tuberculosis, hepatitis, mumps, others
  • Others; thyrotoxicosis, hypoadrenalism, ulcerative colitis, immune diseases
Decreased by:
  • Severe debilitating illness; congestive heart failure, renal failure, advanced tuberculosis
  • Others; Defective lymphatic circulation, high levels of adrenal Corticosteriods, others
Increased by:
  • Infections; subacute bacterial endocarditis, tuberculosis, hepatitis, malaria
  • Collagen vascular disease; systemic lupus erythematosis, rheumatoid arthritis
  • Carcinomas; monocytic leukemia, lymphomas
Decreased by: (unknown)