Common "Peripheral Smear Study" queries answered by top doctors | iCliniq

Peripheral Smear Study

Peripheral smear study is a blood test used to detect any abnormalities in the blood cells. This test helps determine the number and shape of red blood cells, white blood cells, and platelets. It is used to diagnose different types of anemia, leukemia, HIV infection, hepatitis C virus infection, candidiasis, pinworm infection, and other blood disorders.

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Why do I have high platelet count?

Query: Hello doctor, Can you please help me understand my test results? My platelet count is at 1314, and my doctors are unable to give me a specific reason for it.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect the patient's identity). Let me tell you that you have a high platelet count in your CBC (complete blood count) report. The cause can be primary or secondary reactive. Sometimes following infections, p...  Read Full »

Why does bone marrow aspiration and biopsy report differ?

Query: Hi doctor, Bone marrow aspiration twice showed hypercellular bone marrow with overgrowth of WBC and megakaryocytes with all stages of maturing including micro-megakaryocytes. But at the same time, the second BMA during bone marrow biopsy showed normocellular bone marrow. Is something like that possi...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. You have not mentioned the age of the patient, peripheral smear, and CBC (complete blood count) findings. You mentioned that bone marrow was showing overgrowth of the WBC (white blood cells) and micro megakaryocytes. So, it is a myeloproliferative condition. Here, cli...  Read Full »

Please review my blood reports.

Query: Hi doctor, I am a 42-year-old female. My test report says WBC count 12.46, AMC 0.85, AEC 0.76, and normocytic normochromic cells. I feel extreme weakness, frequent infections, petechiae, and daily headaches. But, there is no weight loss. Are there any chances of leukemia? For your information, durin...  Read Full »


Dr. Prathap

Answer: Hi, Welcome to icliniq.com. After looking into your reports there is nothing to be worried except for low vitamin D.Coming to your doubt of leukemia, the probability is very less. But, you need to get a peripheral smear examination which will throw more light into the condition. It will find a...  Read Full »

I have 3.5 pack years smoking history. Can I get leukemia?

Query: Hello doctor, I am 29 years old and I am a former smoker. I smoked half a pack a day from the age of 19 to 26 years (3.5 pack years). I stopped smoking three years ago. I also had three CT scans in my life that totaled just a little over 9 mSv. for some reason. I have attached the CT scan reports. I...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I have seen your CT scans (attachment removed to protect patient identity). As of now, you are not having any symptoms and CT (computed tomography) scans reveal no mass as well. So you are not having cancer as per the history. The risk cannot be predicted when the ...  Read Full »

My daughter's hemoglobin and ferritin levels are low. Why?

Query: Hi doctor, My 3 years old daughter is diabetic since 1.5 years of age and she is also anemic. Sugar is not much a concern. Recently, we got her blood test done and her hemoglobin is 10 and serum ferritin is 1.71. I have given her Iron supplement for over eight months now. Since then, this is her thi...  Read Full »


Dr. Nagasirisha Naredla

Answer: Hi, Welcome to icliniq.com. 1. Anemia can have many causes. Iron deficiency is one of them and very common. 2. There can be other causes, which require some other investigations like peripheral smear and vitamin B12 levels. But, low ferritin points towards low iron as the cause. 3. If she ever re...  Read Full »

What vitamin deficiency causes nosebleeds?

Query: Hello doctor, My mother is 68 years old, and two of her recent consecutive blood reports show very high vitamin B12 levels, over 1500. Her nose has bled for 3 to 4 times in the last six months. Last week, the bleeding was not stopping so she had to be admitted. She has undergone a valve replacement ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. The following can be the reasons for her nosebleed, which is also called as epistaxis. Is she on blood thinners? It can be a likely cause for epistaxis in her case. Hypertension can also be a contributory factor if present. She will need an ENT examination and test ac...  Read Full »

Can ITP cause low hemoglobin and iron levels in my daughter?

Query: Hello doctor,My 21-year-old daughter suffered from ITP, two years back. Her hemoglobin and iron are low again, so she started taking Orofer. Her hemoglobin is 10.3 g/dL and her iron is 25. The platelet count is fine. Please help.   Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. According to the history provided, it is a case of anemia. Here hemoglobin level is low and serum iron level is also low. Hence, it is suggestive of iron-deficiency anemia. But for proper workup, I need to know peripheral smear examination report with CBC (complete blo...  Read Full »

I want to know whether a girl with low WBC has difficulty getting pregnant.

Query: Hello doctor, I want to marry a girl, but she has low white blood cells range. My family is not allowing me to get married to her. They are saying that she is unhealthy and cannot get pregnant. Please guide me.  Read Full »


Dr. Balakrishnan R

Answer: Hi, Welcome to icliniq.com. Let me start by saying that, you can go ahead and marry. WBC (white blood cell) count has no connection with her getting pregnant. But I would be interested in what is this low range you are measuring. There is nothing much to worry about the reduction of WBC only. If co...  Read Full »

I have three abnormal CBC reports that were taken in an interval of 15 days but subsequent test results were normal. Why?

Query: Hello doctor,I have three abnormal CBC reports that were taken in an interval of 15 days. The reports show high lymphocytes and low neutrophils, but WBC is within the normal range. But I am totally fit and fine. My physician suggested I take a peripheral blood smear test. The results of the test wer...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I can understand your concern. You have not mentioned how much high lymphocytosis was present. I would like to know your absolute lymphocyte count (ALC) to give a more precise comment. ALC can be calculated from the total WBC (white blood cells) count. You a...  Read Full »

I have a high platelet count. what could be the reason?

Query: Hi doctor, I am a 46-year-old diabetic female. My platelet count is high at 900,000 per microliter of blood in routine CBC. My iron is normal. My USG showed hepatosplenomegaly and PBS showed microcytic hypochromic anisocytosis. What shall I do now?  Read Full »


Dr. Veerendra Channabasappa Patil

Answer: Hello, Welcome to icliniq.com. The platelet count is above the normal range. There are many reasons for such elevated platelet count. It needs further investigations, including genetic tests. The conditions like essential thrombocytosis could be considered with the available information from you....  Read Full »

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