Looking for a quick bloodwork intepretation

Patient : Recently had some bloodwork done. 24 year old Caucasian male. This was part of my normal workup and I had the following results, including 19 out of range results, which is somewhat concerning, as I usually do not have so many out of range results. I had not eaten at the time of the blood test, so I was considered to be fasting. I got the bloodwork performed at Quest Diagnostics. First are the out of range values (some of which are out of range by 0.1 or 1), then everything else. A CBC, CMP, Morphological Review, and Valproic Acid test were performed. H means it was marked as High L means it was marked as Low MCV: 105.6 H Hemoglobin: 8.2 L AST: 48 H Hematocrit: 26.0 L ALT: 64 H MCH: 33.4 H Sodium: 134 L Neutrophils, Absolute: 531 L Lymphocytes, Absolute: 27,524 H Alkaline Phosphate: 140 H MCHC: 31.6 L Monocytes, Absolute: 1416 H Potassium: 5.4 H Bilirubin, Total: 1.5 H RBC: 2.46 L WBC: 29.5 H Eosinophils, Absolute: 0 L Globulin: 3.9 H RDW: 23.8 H Glucose, Fasting: 85 Urea Nitrogen: 16 GFR Estimated: 121 Total Lymphocytes (%): 93.3 Platelet Estimate: ADEQUATE Creatinine: 0.87 Albumin: 4.0 Total Neutrophils %: 1.8 Carbon Dioxide: 24 Chloride: 101 Basophils: 0.1 Valproic Acid, Total: 51.4 A/G Ratio: 1.0 Protein, Total, Serum: 7.9 Calcium, Plasma: 9.0 Eosinophils, %: 0.0 MPV: 8.5 Basophils, Absolute: 30 Monocytes, %: 4.8 Platelet Count: 237 EGFR AFRICAN AMERICAN: 140 PATH REVIEW PERIPHERAL SMEAR SLIGHT TEAR DROPS OCCASIONAL ATYPICAL LYMPHOCYTES OBSERVED ON SMEAR. OCCASIONAL MYELOCYTE SEEN. LYMPHOCYTOSIS MODERATE ELLIPTOCYTES SLIGHT POLYCHROMASIA SLIGHT MACROCYTOSIS MARKED ANISOCYTOSIS OCCASIONAL NRBC MODERATE SPHEROCYTES SLIGHT SCHISTOCYTES I am wondering what some of these might be indicators of and if my doctors might require further blood work from me?
Symptoms:  Blood test interpretation
Doctor :   Hello Welcome to Ask The Doctor. We are here for your help. Your major abnormality is Anemia and raised MCV. This r eflects Megaloblastic Anemia. This can be due to Vitamin B12 or Folate Deficiency. Your doctor would order following investigations for you: 1. Vitamin B12 and Folate assay. 2. Reticulocyte count. 3.Bone marrow examination should be performed if the levels are found normal. If it is simple Vitamin B12 and Folic acid deficiency, you would require parenenteral Vitamin B12 supplementation. I hope it helps. Stay Healthy

Related Q&A

Q: Hello, I recently noticed that my nails have no moon and that they have a somewhat of a paleness white area to them f...

Q: I have blood clots in my leg at the top of the thigh in the femoral artery. I also have the factor 5 .I was put on X...

Q: 4.5 years ago, after my 3rd child was born, I had massive blood loss and needed an iron infusion. I had a slight alle...

Q: So I recently found out my ferritin was low only because my hair started to fall out. Every year I go for a blood te...

Q: Hi Just had a blood test and have been given result which I don't understand Can you help me please? I have a mean c...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews