QuestionHi, I had lab results returned recently and they showed wbc high 10.2,platelet high 926,NE# high 6.8,mpv low 6.4,tot bili low 0.1,alt/sgpt low 10,glucose high 133. should I be concerned?
AnswerPlease note this information is not intended to substitute for medical advice. Only your doctor can interpret the results as part of a clinical evaluation.
The link below shows normal reference ranges based on patient populations which may vary from one hospital to another. http://www.labtestsonline.org/understanding/features/ref_ranges.html
A WBC count is done as part of a Complete Blood Count in which 5 types of WBCs are counted: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. RBCs are also identified by size , volume, and hemoglobin concentration. Please see the link below for reference ranges.
http://www.labtestsonline.org/understanding/analytes/cbc/glance.html
http://www.labtestsonline.org/understanding/analytes/cbc/test.html
http://www.merck.com/mmhe/appendixes/ap2/ap2b.html
Please see previous responses posted for more detailed information on the information provided by a CBC.
WBC counts with elevated neutrophils are diagnostic of a bacterial infection, elevated lymphocytes are diagnostic of viral infections
Platelets are involved in the clotting process. When they are above normal reference range this can lead to an increased risk of formation of intravascular clots.
I have never seen NE# listed on a lab test result, and would ask my doctor the meaning of the results.
Mpv is minimum platelet volume. The reference range is
MPV, Mean Platelet Volume
7.0 - 10.6 fL
Total Bilirubin ref range is
Bilirubin Direct: up to 0.4 mg/dL
Total: up to 1.0 mg/dL
Bilirubin is the byproduct of the normal breakdown of hemoglobin from RBCs. Hemoglobin is the red pigment which makes RBCs red and is the oxygen carrying component of RBCs. Old worn out RBCs are removed by the liver from circulation after about 30 days.
ALT = SGPT which is a liver enzyme. Different specific liver enzymes may be elevated in various medical conditions. For example elevated AST (SGOT) can be diagnostic of Hepatitis B or other medical conditions.
A normal fasting glucose reference range is around 70-110mg/dL. This requires the patient to fast for 12 hours before testing, otherwise the results will be falsely elevated and the test will be invalid. There are different types of glucose testing, i.e. fasting glucose, post prandial glucose, etc. and without knowing which test you are referring to only your doctor can answer this question.
Since the combination of values you list are not diagnostic of any one specific condition, and there are many lab values for many different lab tests mentioned here, there could be many different causes of these results. The best source of authority to answer this question would be your own physician who ordered these tests.
