HomeAnswersHematologycomplete blood countKindly diagnose my condition based on the attached reports.

Can you diagnose my condition based on my CBC report and chest X-ray?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At October 19, 2020
Reviewed AtJanuary 8, 2021

Patient's Query

Hi doctor,

I have done these analyses in CBC and I need to know the diagnosis. I have a hemoglobin of 17.3 g/dL, RBC of 6.88 million cells/mcL, hematocrit of 51.6 percent, MCV of 75 fL, MCH of 25.1 pg, RDW-CV of 10.9 percent, RDW-SD of 26 fL, MPV of 12.6 fl, and WBC of 3.5 per microliter of blood.

Hi,

Welcome to icliniq.com.

I understand your concern. I have gone through the report (attachment removed to protect patient identity) and it is suggestive of polycythemia. The cause of polycythemia can be primary myeloproliferative neoplasm or secondary polycythemia by other causes. To rue out polycythemia, it is necessary to do a JAK2 (Janus kinase 2) and Exon 12 mutation study by RT PCT (reverse transcription-polymerase chain reaction) can be done. The secondary causes are dehydration, smoking, respiratory causes, cardiac causes, and testosterone levels. For this, I suggest you investigate chest X-ray and EKG (electrocardiogram) for primary workup. Drink some water and stop smoking if you have the habit. I suggest you investigate serum EPO (erythropoietin). Repeat your CBC (complete blood count) after few days and kindly revert back with the above-mentioned information. Meanwhile, drink more water and do not forget to revert with repeated CBC after a few days.

Patient's Query

Thank you doctor,

I have attached the chest X-ray report.

Hi,

Welcome back to icliniq.com.

The attached chest X-ray does not show any abnormality and it seems to be normal. Please mention whether you have a smoking habit. If you have any clinical signs and symptoms, then it is good to mention them in detail to guide you further. Meanwhile, follow the instructions given above.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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