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Neurology (Expert Forum)
Rouleaux and other findings
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Rouleaux and other findings
by Yabba-Dabba-Doo, Jan 04, 2005 12:00AM
I went in for recent blood tests and have a question about the smear assessment. It says "Generally Normocytic, Normochromic Plts Normal, Rouleaux Present." What does this mean in English?
The rest of my tests came back with Elevated White Blood Count; Elevated ESR. Differenial Absolute showed Elevated Neuts, Low BASO, Elevated Monos. Plus a low TSH of 0.19.
Does this mean I have an infection of sorts?
How concerned should I be with these results?
Thank-you for your time!
The rest of my tests came back with Elevated White Blood Count; Elevated ESR. Differenial Absolute showed Elevated Neuts, Low BASO, Elevated Monos. Plus a low TSH of 0.19.
Does this mean I have an infection of sorts?
How concerned should I be with these results?
Thank-you for your time!
Doctor's Answer
by CCF-Neuro-M.D.-CS, Jan 04, 2005 12:00AM
Unfortunately as I am a neurologist, I will not be able to answer your question as well as a hematologist or general internist
Rouleaux formation as far as I know means clumping of red blood cells in the blood slide, and can be caused by increased proteins in the blood (eg due to an infection). 'Normochromic and normocytic' describes the normal appearance of a single red blood cell.
An elevated white count and ESR is non-specific but may indicate an active infection. The TSH is hard to interpret without other thryoid function tests but may be artifially low in the setting of an infection or other illness.
I would attend or call your family internist to obtain a formal interpretation of the results and any appopriate treatment
Good Luck
PW
Rouleaux formation as far as I know means clumping of red blood cells in the blood slide, and can be caused by increased proteins in the blood (eg due to an infection). 'Normochromic and normocytic' describes the normal appearance of a single red blood cell.
An elevated white count and ESR is non-specific but may indicate an active infection. The TSH is hard to interpret without other thryoid function tests but may be artifially low in the setting of an infection or other illness.
I would attend or call your family internist to obtain a formal interpretation of the results and any appopriate treatment
Good Luck
PW
