AboutNeha Dahiya MD Expertise I can help patients understand their lab report results, help them with queries regarding what pretest preparation is required. How often a follow up test needs to be done. What does a particular tissue biopsy report mean in everyday English. I can explain the biopsy or cytology procedure. I can deal with Histopathology / cytology / clinical pathology and clinical chemistry queries. Helping in this manner will be my contribution to the community.
Experience I am a pathologist and director of clinical laboratory services. I have been a practicing pathologist for last 9 years in a 350 bed multi specialty hospital laboratory.
Organizations Indian association of pathologists and microbiologists.
MIAC - Member International Academy of Cytology
International association of Pathologists - indian division
Indian association of Cytology
Question An 80 yr. old woman has a WBC of 130,000...86% bands...a month ago her WBC was 5000. What could be going on? There are no blasts...
Answer Hello MJ
Any form of infection / fever / sore throat etc will lead to elevated values. In addition acute or chronic leukemia can cause such high elevation of WBC
The WBC is elevated with increase in neutrophils and no blasts seen. May be due to some severe bacterial infection. Blasts are required for diagnosing acute leukemia. Further tests like bone marrow examination will be needed to confirm or rule out leukemia
These values are dynamic and any two tests are never the same. They have to be within the given range to be considered normal. If out side the range then further evaluation is needed.
