Thecomplete blood count (CBC) is one of the most common blood tests. It is often done as part of a routine checkup. This test measures many different parts of your blood, including red blood cells, white blood cells, and platelets.
The table below shows some normal adult ranges for different parts of the CBC test. Some of the normal ranges differ between men and women. Other factors, such as age, high altitude, and race, also may affect normal ranges.
The basic metabolic panel (BMP) is a group of tests that measures different naturally occurring chemicals in the blood. These tests usually are done on the fluid (plasma) part of blood. The tests can give providers information about your organs, such as the heart, kidneys, and liver.
The BMP includes blood glucose, calcium, and electrolyte tests, as well as blood tests that measure kidney function. Some of these tests require you to fast (not eat any food) before the test, and others don't. Your provider will tell you how to prepare for the test(s) you're having.
Blood enzyme tests may be used to check for heart attack. Enzymes are chemicals that help control chemical reactions in your body. There are many types of blood enzyme tests. The ones for heart attack include troponin and creatine kinase (CK) tests.
Blood levels of troponin go up when a person has muscle damage, including damage to the heart muscle. In addition, an enzyme called CK-MB is released into the blood when the heart muscle is damaged. High levels of CK-MB in the blood can mean that you've had a heart attack.
A lipoprotein panel, also called a lipid panel or lipid profile, measures the levels of LDL and HDL cholesterol and triglycerides in your blood. Cholesterol and triglyceride levels that are higher or lower than normal may be signs of higher risk of coronary heart disease.
Blood clotting tests are sometimes called a coagulation panel. These tests check proteins in your blood that affect the blood clotting process. Levels that are higher or lower than normal might suggest that you're at risk of bleeding or developing clots in your blood vessels.
These tests can help find the cause of low or high blood cell counts. They also play an important role in checking how well treatments for certain types of cancers, such as leukemia or lymphoma, are working.
A measurement of the serum creatinine level is often used to evaluate kidney function. Urine creatinine levels can be used as a screening test to evaluate kidney function, or can be part of the creatinine clearance test.
When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging sensation. Afterward, there may be some throbbing or slight bruising. This soon goes away.
This test is done to see how well your kidneys work. Creatinine is removed from the body entirely by the kidneys. If kidney function is not normal, the creatinine level in your blood will increase. This is because less creatinine is excreted through your urine.
The examples above are common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test results.
There is little risk involved with having your blood taken. Veins and arteries vary in size from one person to another and from one side of the body to the other. Taking blood from some people may be more difficult than from others.
Reviewed by: Jacob Berman, MD, MPH, Clinical Assistant Professor of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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If your blood sample is being tested only for a complete blood count, you can eat and drink as usual before the test. If your blood sample also will be used for other tests, you might need to fast for a certain amount of time before the test. Ask your health care provider what you need to do.
For a complete blood count, a member of the health care team takes a sample of blood by putting a needle into a vein in your arm, usually at the bend in your elbow. The blood sample is sent to a lab. After the test, you can return to your usual activities right away.
A complete blood count, also called a CBC, usually doesn't give all the answers about a diagnosis. Results outside the expected range may or may not need follow-up. A health care provider might need to look at the results of other tests as well as the results of a CBC.
For example, results slightly outside the typical range on a CBC might not be of concern for someone who's healthy and has no symptoms of illness. Follow-up might not be needed. But for someone having cancer treatment, the results of a CBC outside the expected range might signal a need to change the treatment.
Lower than usual measures in these three areas are a sign of anemia. Anemia has many causes. They include low levels of certain vitamins or iron, blood loss, or another medical condition. People with anemia might feel weak or tired. These symptoms may be due to the anemia itself or the cause of anemia.
A red blood cell count that's higher than usual is known as erythrocytosis. A high red blood cell count or high hemoglobin or hematocrit levels could point to a medical condition such as blood cancer or heart disease.
White blood cell count. A low white blood cell count is known as leukopenia. A medical condition such as an autoimmune disorder that destroys white blood cells, bone marrow problems or cancer might be the cause. Certain medicines also can cause a drop in white blood cell counts.
A white blood cell count that's higher than usual most commonly is due to an infection or inflammation. Or it could point to an immune system disorder or a bone marrow disease. A high white blood cell count also can be a reaction to medicines or hard exercise.
A laboratory (lab) test checks a sample of your blood, urine (pee), or other body fluid or tissue to learn about your health. The sample is sent to a lab where health care professionals test it to see if it contains certain substances and, if so, how much.
Other lab tests provide more general information about your health and possible problems. Test results that aren't normal give your health care provider clues about the type of health problems you may have. The results help your provider decide whether you need more tests and which ones will be most useful for diagnosing or ruling out certain conditions.
Lab tests are an important part of your health care. But they don't provide a complete picture of your health. Even though you may get your test results in your electronic health record (EHR), it's still important to talk with your provider to find out what your results really mean for you.
To get a full picture of your health, your provider will use your test results along with information from your physical exam, health history, family health history, and sometimes imaging tests, such as x-rays. In most cases, combining that information leads to a more accurate diagnosis than the results from any one lab test.
Diagnose or rule out a specific disease or condition. Tests to diagnose health problems are done when you have signs or symptoms of a certain disease or condition. Sometimes more than one test is needed to confirm a diagnosis.
Suggest whether you need more testing to check for a condition or disease. These screening tests look for signs that you may have a health problem so that you can have more testing to find out for sure. For example, one type of screening test for colon cancer looks for blood in your stool (poop). If blood is found, it could be a sign of cancer. So, your provider may order a colonoscopy to find out for sure whether you have cancer.
Monitor a disease and/or treatment. If you've already been diagnosed with a disease, you may need lab tests to see if your condition is getting better, worse, or staying the same. Tests can also show if your treatment is working.
A reference range is a set of numbers that are the high and low ends of the range of results that's considered to be normal. The ranges are based on the test results from large groups of healthy people. A test may have different reference ranges for different groups of people. For example, there may be separate ranges for children and adults.
Reference ranges are a general guide to "normal." If your test result is higher or lower than the range that applies to you, it may be a sign of a health problem, but not always. It's common for healthy people to sometimes have results outside the reference range. And people with health problems can have results in the normal range, too.
If your results are outside of the reference range, your provider will look at other information about your health to understand what may have affected your results. You may need more testing if your result is higher or lower than the reference range, or if you have a normal result even though you have symptoms.
These incorrect results don't happen often, but they are more likely with certain of types tests, or if testing wasn't done right. If your provider thinks your test result may be inaccurate, you may need to have another test.
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