CBC (Complete Blood Count) with PS and ESR

Other names: Complete Blood Hemogram, full hemogram, CBC with ESR

Complete Hemogram means a comprehensive test which includes broad screening of blood component parameters.

Complete Hemogram includes following tests:

1. Complete Blood Count or CBC test: measures various different components and features of the blood
2. Erythrocyte Sedimentation rate ESR: rate at which RBCs settle at bottom in one hour is also measured.

A complete hemogram blood test (HMG) mainly involves the testing for three components: Red Blood Cells (RBCs), White Blood Cells (WBCs), and Platelets. Complete hemogram test list is as follows:

• Total count of WBC, RBC & Platelets: Total number of RBC, WBC and platelets
• Differential WBC count: Number of different types of WBCs namely Neutrophils, Basophils, Eosinophils, Lymphocytes and Monocytes.
• Platelet Crit (PCT): volume occupied by platelets in blood
• Mean Cell Volume (MCV): This is the average size of your red blood cells.
• Mean Platelet Volume (MPV): This measures average size of platelet
• Peripheral Smear Examination: This examines physical appearance of RBC, WBC and platelets
• Packed Cell Volume (PCV) OR Haematocrit (HCT): It is ratio of Red blood cells versus fluid/liquid component of the blood, also known as plasma.
• Mean Cell Haemoglobin (MCH) & its Concentration
• RBC Distribution Width-Standard Deviation (RDW-SD)
• RBC Distribution Width-Coefficient of Variation (RDW-CV)
• Erythrocyte Sedimentation Rate (ESR): It measures how quickly red blood cell settle at the bottom. This is measured in per hour basis.

Why Complete Hemogram?

Complete Hemogram is very useful in patients with bleeding disorders, patients taking medications which impact blood cells and for patients having cancer, bone marrow disease, bleeding disorders or autoimmune disorders. Parameters such as MPV, platelet crit are crucial for monitoring bleeding disorders and bone marrow conditions. Differential counts of WBCs help evaluate infections and severity of the same.

Who should get tested for Compelte Haemogram?

Your healthcare provider may ask you to get Complete hemogram as part of regular health checkup if you are suffering from following conditions:

1. Prolonged bleeding for minor injuries
2. Taking Chemotherapy for cancer
3. Leukemia
4. Excessive bleeding
5. Nose bleeding
6. Red or purple spots on skin
7. Unexplained bruising
8. Anemia
9. Viral infections
10. Complicated pregnancy: High blood pressure in pregnancy (Preeclampsia)

Reference Range and Requirments for Hemogram

Complete hemogram reference range:

Requirements:

No fasting is required. However, other test done along with this may require it, hence check with your healthcare provider for the same.

Interpretation

 Complete Hemogram analyses many factor and hence the full Hemogram interpretation is complex. Along with factors analysed in the test, a phycisian will always ask you to do other tests also taking into account patient’s signs and symptoms and medical history to come to conclusion.

All factors analyzed together are used to diagnose the condition or prevent the onset of any critical condition. Complete hemogram is particularly useful in health monitoring of elderly patients or patients suffering from chronic illness as it detects even slightest of the variations making it a great preventive checkup test.