Family, Internal Medicine, General Medical Questions/what does a shift (left, etc.)...

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Question
what does a shift (left, etc.) in white count mean?  I think you look at the segs, is that correct?

Answer
Hi,
This is an old term to describe immature white blood cells that are liberated by infection response. It comes from the use of a now no longer used manual device to count white blood cells under a microscope. The "left shift" meant that the immature cell counting button was on the left of a keyboard.

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Charles Cusumano, PA-C, DFAAPA

Expertise

I`m a Physician Assistant in medical practice since 1975. I`m a nationally certified Physician Assistant and am a nationally credentialed Family Medicine Practitioner. I was also honored as a Distinguished Fellow in the AAPA.

Experience

Radiologic Technologist 1963-1973; Training in Hand and Upper Extremity Microvascular Surgery at the Mayo Clinic; and injury of the hand and upper extremity. I have taught pediatric ambulatory trauma. I'm ACLS certified. I serve as Honorary Chairman from Kentucky to the Republican National Congressional Committee Physician Advisory Board.

Organizations
AAPA, KAPA

Awards and Honors
Distinguished Fellow American Academy of Physician Assistants

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