How is anemia diagnosed?
Anemia is usually detected, or at least confirmed, by a complete
blood cell (CBC) count. A CBC test may be ordered by a physician as a
part of routine general checkup and screening or based on clinical signs
and symptoms that may suggest anemia or other blood abnormalities.
What is a complete blood cell (CBC) count?
Traditionally, CBC analysis was performed by a physician or a
laboratory technician by viewing a glass slide prepared from a blood
sample under a microscope. Today, much of this work is often automated
and done by machines. Six component measurements make up a CBC test:
- Red blood cell (RBC) count
- Hematocrit
- Hemoglobin
- White blood cell (WBC) count
- Differential blood count (the "diff")
- Platelet count
Only the first three of these tests -- the red blood cell (RBC)
count, the hematocrit, and the hemoglobin -- are relevant to the
diagnosis of anemia.
Additionally, mean corpuscular volume (MCV) is also often reported in
a CBC, which basically measures the average volume of red blood cells
in a blood sample. This is important in distinguishing the causes of
anemia. Units of MCV are reported in femtoliters, a fraction of one
millionth of a liter.
Other useful clues to causes of anemia that are reported in a CBC are the size, shape, and color of red blood cells.
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