Hematology Flashcards
Causes of spurious increase in WBC
- Cryoglobulins
- Monoclonal proteins
- Nucleated RBCs
- Platelet clumps
- Unlysed RBCs
Causes of spurious decrease in WBC
Clotted sample
Causes of spurious increase in RBC
- Cryoglobulins
- Macrothrombocytes
- Markedly high WBC count
Causes of spurious decrease in RBC
- Clotted sample
- In vitro hemolysis
- Microcytic or fragmented RBCs
- RBC agglutination
Causes of spurious increase in HGB
- Cyroglobulins
- Hyperbilirubinemia
- In vitro hemolysis
- Lipemia
- Monoclonal proteins
- Markedly high WBC count
Causes of spurious decrease in HGB
Clotted sample
Causes of spurious increase in HCT
- Cryoglobulins
- Hyperglycemia
- Macrothrombocytes
- Markedly high WBC count
Causes of spurious decrease in HCT
- Clotted sample
- In vitro hemolysis
- Microcytic or fragmented RBCs
- RBC agglutination
Causes of spurious increase in MCV
- Hyperglycemia
- Markedly high WBC count
- Old sample (swollen RBCs)
- RBC agglutination
Causes of spurious decrease in MCV
- Cryoglobulins
- In vitro hemolysis
- Macrothrombocytes
- Microcytic or fragmented RBCs
Causes of spurious increase in platelets
- Cyroglobulins
- In vitor hemolysis
- Fragmented WBCs
- Microcytic or fragmented RBCs
- RBC inclusions
Causes of spurious decrease in platelets
- Clotted sample
- Macrothrombocytes
- Platelet clumps or satellitosis
Associations with decreased MCV and decreased MCH
iron deficiency, lead poisoning, thalassemia
Associations with normal MCV and normal MCH
sudden blood loss, chronic inflammation, kidney failure, pregnancy
Associations with high MCV
vitamin B12/folate deficiency, certain drugs, MDS, hemolysis