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 HighL means it was marked as LowMCV: 105.6 HHemoglobin: 8.2 LAST: 48 HHematocrit: 26.0 LALT: 64 HMCH: 33.4 HSodium: 134 LNeutrophils, Absolute: 531 LLymphocytes, Absolute: 27,524 HAlkaline Phosphate: 140 HMCHC: 31.6 LMonocytes, Absolute: 1416 HPotassium: 5.4 HBilirubin, Total: 1.5 HRBC: 2.46 LWBC: 29.5 HEosinophils, Absolute: 0 LGlobulin: 3.9 HRDW: 23.8 HGlucose, Fasting: 85Urea Nitrogen: 16GFR Estimated: 121Total Lymphocytes (%): 93.3Platelet Estimate: ADEQUATECreatinine: 0.87Albumin: 4.0Total Neutrophils %: 1.8Carbon Dioxide: 24Chloride: 101Basophils: 0.1Valproic Acid, Total: 51.4A/G Ratio: 1.0Protein, Total, Serum: 7.9Calcium, Plasma: 9.0Eosinophils, %: 0.0MPV: 8.5Basophils, Absolute: 30Monocytes, %: 4.8Platelet Count: 237EGFR AFRICAN AMERICAN: 140PATH REVIEW PERIPHERAL SMEARSLIGHT TEAR DROPSOCCASIONAL ATYPICAL LYMPHOCYTES OBSERVED ONSMEAR.OCCASIONAL MYELOCYTE SEEN.LYMPHOCYTOSISMODERATE ELLIPTOCYTESSLIGHT POLYCHROMASIASLIGHT MACROCYTOSISMARKED ANISOCYTOSISOCCASIONAL NRBCMODERATE SPHEROCYTESSLIGHT SCHISTOCYTESI 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: HelloWelcome 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