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212            PART 3  ■  Hematology Laboratory Assessments




               m                                                          m             m                  -               Red Blood Cell Indices

                                     x                           ,                                   %

               m                m          m           m            .                                                      T                                                     m       m

                    P    m          m   m                      m            m                   -                                 z                                          m                                .

                m                             ,                                     . T                -                   T

                         C                 m                 m         mm               . R                                 .  Mean corpuscular colume  MCV

                     m   m                                       m                     m         m                          .  Mean corpuscular hemoglobin  MCH

                     m                m          .                                                                          .  Mean corpuscular hemoglobin concentration  MCHC



                                                                                                                                      MCV, MCH,        MCHC
                  NOTE: This is a good time to review the de  nition of the Key                                                                   m                                                      -

                  Terms in the Glossary and   ash cards on                                         . It is also            m               m x                                                           . F

                  a good time to complete Review Questions related to the                                                   x  m     ,                                m    ,         m

                  preceding content.                                                                                                                                   m                 m        m


                                                                                                                           m                                              m               m         m

                                                                                                                               m          . I      m                  x  m                      m
               Manual Erythrocyte Count                                                                                                                          m                            m



               R     C     C        M          m                                                                                            .

                                                             ,               m                          -                       T   MCV           x    m

                          m       m                                                      q             .                        m    ,             MCH       MCHC m                                 ,

                    I                                                 ,                                                                                        m        . T    MCH        MCHC

                                                                   . B                    m                                              m                                        q

                                           x                    m                           (                                                              m                                               m

                            m     ),                                                                                         m  .

                                                         . H          ,          m  k          k  -

                                       ,                                       m           m                               Mean Corpuscular Volum e

               m                                                                                                           T   MCV   x                                 z              m                    -

                    . T                                    RBC                          m                                            . T        m

                  m                      z          % (CV)     m                    m    m m
                                                                                                                                                                                                              (
                   m                                       %        m          m          .                                 MCV =        P         ’        k               m          m           L/ L                )  =   L

                    Calculation:                                                                                                                         E                           (×              / L)

                    N  .     RBC  =                           RBC          q         ×       -

                                                 ×        m                                                                     Example: I                   ’      m                  %,       .     L/L,


                 .                     q                              -mm  q                           .                                                                .   ×     /L,       MCV            -

                .  T            m                                   .                                                      m              :

                .  T           m                                     . T        m              -                                                           .   L/ L


                                                                                                                                                                                            −


                                                  m               q                               m                                         MCV =                     =       .   ×   =               .   L

                      .   µL. T                                                         m                                                                  .  ×
                     (  .     µL)                   m           (  .    /µL).                                                   a O        m          ( L) =              −     L =              m      m       (µm )


                    Example: I                          m          RBC                         ,                                R                         (        )      MCV                   L

                             RBC                                                                                                Clinical Conditions:

                        ×      ×    =  .   ×     /L                                                                             T   MCV                        m                                           -

                    A   m                               m                                        ,      ,                  m                      z  . E             MCV

                                               ×     . T                                     RBC  ×                        m                      m                                 m                          m

                                       ,       =   ,      ,              ×     /L.                                                                            m                                              . L

                    Sources o  Error:                                                                                      MCV                                                                         m   ,      -

                    I                                        m                              m                                  z                     m    ,             m                            mm  -

                                  ,                              ,               m         m      ,                               /      m                                  .

                                                                   m        m                 .                                 Sources o  Error:

                    Re erence Ranges:                                                                                           A

                    N   m                                                           m          m                                                                              m   m

                                            .  .                                                                                        MCV. M            m                 z                 MCV      -

                    V                                                                                                                              L,             x           m                      m   ,

                                                                           . A                  RBC                        m                         H              . I                ,                               m

                                                    m    ,    m           ,    m              -                            (                                      m  /  L)  m                    m               -

                        ,                      k  m    . A                                                                                              ,                                                     MCV.

               RBC                                                                                   m   .                 L    k             m                                         MCV           .
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