How to Interpret RBC Indices (e.g. hemoglobin vs. hematocrit, MCV, RDW)

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  • Опубліковано 30 тра 2024
  • An overview of the RBC indices of a complete blood count (CBC), and how to interpret them. Covered tests include hemoglobin, hematocrit, MCV, MCH, MCHC, and RDW.

КОМЕНТАРІ • 67

  • @howtomedicate
    @howtomedicate 5 років тому +15

    Great overview video on some essential bloodvalues! Great for medical students 👍

  • @abdulazeez.98
    @abdulazeez.98 5 років тому +4

    Great video as always.
    I'm excited for the upcoming anemia lectures.

  • @SKARTHIKSELVAN
    @SKARTHIKSELVAN 5 років тому +7

    Thanks for your effort in making these educational videos.

  • @Elmotamayeza
    @Elmotamayeza 5 років тому +7

    Thank you so much our best teacher ❤️ I'm really wondering why doesn't this kind of well prepared and presented informations get a lot of views and likes ? I'm afraid that would have a negative feedback on our teacher 😣😣

  • @bugbumble3
    @bugbumble3 5 років тому +6

    Excellent job as always! I don’t think there’s any other easier way to learn this.

  • @kimpoyfajardo5357
    @kimpoyfajardo5357 3 роки тому +3

    Wow ! Thank you for this Video Tutorials. Its very informative and helps me alot. More power, support from the Philippines ❤

  • @mr.medtech731
    @mr.medtech731 5 років тому +28

    Please do a review on basic chem panels and values. What a doctor looks for when reading them. Comprehensive panel, iron profile, lipid panel, electrolyte panel, renal panel, your cardiac biomarkers. Lab result interpretation is an essential skill. Great video!!!!

    • @StrongMed
      @StrongMed  5 років тому +12

      Thanks for the comment and suggestions!
      I have a few videos on lab interpretation already - mostly on individual electrolyte abnormalities, but also ones on the interpretation of LFTs (ua-cam.com/video/UrrXITkyb2c/v-deo.html&) and the UA (ua-cam.com/video/xUP0tJPm4V4/v-deo.html), both of which I was pretty happy with.
      A video on the iron panel will be posted next week (around Wed +/- a day).

    • @bugbumble3
      @bugbumble3 5 років тому +1

      Strong Medicine I was gonna request for iron studies and you already have it coming. Thanks.

  • @ahealingplace7350
    @ahealingplace7350 3 роки тому +3

    Thank you Doc, you explained it in such a way that it's impossible to forget!

    • @strongDr
      @strongDr 3 роки тому +1

      Are u Italian?

  • @bellatwite8649
    @bellatwite8649 3 роки тому +4

    Great video!the details are clearly explained. I was about to pay $100 to a doctor for him to interpret my results. Thanks for uploading!

  • @salammahmood6037
    @salammahmood6037 5 років тому +2

    Thank you very much for your time and efforts.

  • @aabbuu3151
    @aabbuu3151 5 років тому +5

    Thank you for teaching us...

  • @annvivar6532
    @annvivar6532 4 роки тому

    Thank u for make this video, it help me a lot for a better understanding.

  • @zuhairyassin505
    @zuhairyassin505 5 років тому +10

    this is extremely useful coming from a clinician

  • @HeritageCast
    @HeritageCast 2 роки тому +1

    Very important for docs to know about TRT patients is there is a self regulation mechanism with Hematocrit and a 50-70 is common. And even patients in Colorado at 1k feet in the air only have 53-60% hematocrit. And if there are issues require Jak2 and other cancer gene markers to diagnose.

  • @gabriellecimon
    @gabriellecimon 3 роки тому +2

    I should send this to my doctor. Awesome and informative!

  • @cornelbacauanu1544
    @cornelbacauanu1544 5 років тому

    Excellent explanation . Thank you .

  • @kangonlen8888
    @kangonlen8888 2 роки тому

    strangely i have low MCV (68-69) but my B12 value is every high (700pg/ml) , whats that mean ?? some insight are appreciated

  • @rcorty
    @rcorty 3 роки тому +3

    Thanks for making and sharing this well-organized video. One minor note -- I don't believe it's quite correct to say that a low MCH correlates with hypochromia. If the cells are small but the MCHC is normal, MCH will be low but there will not be hypochromia. I believe it would be more accurate to say low MCHC correlates with hypochromia. This is somewhat academic since, in practice, they're all correlated 😂

  • @jasminehamilton694
    @jasminehamilton694 Рік тому

    Thanks for breaking this down

  • @lymphaticnew9983
    @lymphaticnew9983 4 роки тому +1

    Thank you so much very helpful video..looking up for upcoming videos
    What's the name of the song in the begining?

  • @bsingh2347
    @bsingh2347 3 роки тому +2

    Hi, can some one please tell me how i can work out my red blood cell count from hematocrit % (expressed as: ?.? mil/ul)?

  • @AhmadRaza-ni8bk
    @AhmadRaza-ni8bk 3 роки тому

    Great video! Thankyou

  • @Apratim98
    @Apratim98 3 роки тому

    Does RBC count also includes reticulocytes?

  • @bfurl69
    @bfurl69 4 роки тому

    great video

  • @JaHm3sZ
    @JaHm3sZ 2 роки тому +1

    Shat does high rbc high rdw low mcv low mch low mchc mean?

  • @sd123456789100
    @sd123456789100 2 роки тому

    Dr strong making our medicine strong

  • @docmalice
    @docmalice 3 роки тому +1

    Im sorry im a little confused, whats the difference between hemoglobin and mchc? I get that mch is the average amount of hemoglobin in a single rbc, but both hemoglobin and mchc are the amount of hemoglobin in a volume of blood right? Theyre even expressed in the same unit. Whats the difference?

    • @sd123456789100
      @sd123456789100 2 роки тому

      Mch is amount mchc is concentration of Hb

  • @Testecoeur
    @Testecoeur 5 років тому +1

    my hero

  • @shutterismmn
    @shutterismmn 4 роки тому

    thank you so much

  • @About36Greekss
    @About36Greekss 4 роки тому +4

    Thanks for this info ! My mch and mcv came back slightly low with my Rbc being a little high . My hemoglobin was normal but I do have some iron deficiency symptoms

    • @coltonmoore6574
      @coltonmoore6574 3 роки тому

      You may want to consider checking your ferritin level it gives a better picture of your current iron storage

    • @theguywhosteals
      @theguywhosteals Рік тому

      So what did your gp say?

  • @ersantosjr
    @ersantosjr 3 роки тому

    Thank you so much! As a nurse practitioner I have been reviewing laboratory values and this is very helpful. Thank you

  • @AHmedATef
    @AHmedATef 2 роки тому

    I like the piano track dr strong ❤️

  • @reagannuvi351
    @reagannuvi351 2 роки тому

    Thanks so much

  • @Nicki.louise
    @Nicki.louise 6 місяців тому

    What about a high MCV and high hct ?

  • @draishwaryaa8242
    @draishwaryaa8242 5 років тому

    Helpful! Thank you so much

  • @meghpushpa2320
    @meghpushpa2320 3 роки тому

    CBC test for testosterone ?

  • @1878Devils
    @1878Devils 3 роки тому +1

    Great lecture!
    Just one issue...you said that the hematocrit has low significance value...
    It is actually very imp in determining states like polycythemia or pcv

    • @StrongMed
      @StrongMed  3 роки тому

      Thanks for the feedback. I just listened to the video again to make sure I didn't misspeak. I say that the # of RBCs is the value with limited importance, not the hematocrit. Also, that typically either the hematocrit or hemoglobin is reported on rounds - there is little reason to discuss both since they almost always trend in the same direction and by the same relative magnitude. Polycythemia vera is usually diagnosed based on elevated hemoglobin and/or hematocrit. I'm not a hematologist, but I have not personally seen the RBC count used as a major, independent criteria for the diagnosis (though doing so does not seem unreasonable).

    • @1878Devils
      @1878Devils 3 роки тому +1

      2:40
      Im saying this because i had an issue with increased hb and hct...
      And i got tested for Jak2 exon ...
      Ps - great job otherwise

  • @m.salahfunlover6136
    @m.salahfunlover6136 4 роки тому +3

    Sir i hve 5.6 RBC and 13.4 Hamoglbin... Is it good or i should go to dpctor

  • @thokchomsingh2121
    @thokchomsingh2121 2 роки тому

    Is 4.3rbc consider low

  • @jennakuder1496
    @jennakuder1496 5 років тому

    Not sure if you've done this but anemias would be a good branch off of this. I have 38 pages of notes on them and wish I had a good video!

    • @StrongMed
      @StrongMed  5 років тому +3

      I've made a whole series on anemia that's rolling out tomorrow!

  • @Luiz-ww9yt
    @Luiz-ww9yt 3 роки тому

    Hello Strong medicine. First of all, thank you for the videos. Second, do you have any plans of making "How to Interpret white blood cells Indices "? Thanks in advance. Greetings from Brazil.

    • @StrongMed
      @StrongMed  3 роки тому +1

      Yes, some day... I wish I could estimate when!

  • @rupakbiswas2777
    @rupakbiswas2777 2 роки тому

    WBC?

  • @alexsami8267
    @alexsami8267 2 роки тому

    How to increase hematocrit, and decrease RDW by food and any other advice

    • @StrongMed
      @StrongMed  2 роки тому

      I'm sorry, but I can't offer specific, individualized medical advice here. I recommend speaking with your physician about your health concerns.

  • @saskiakristofedes2482
    @saskiakristofedes2482 3 роки тому

    hi how about hct is low but rbc ct normal

    • @StrongMed
      @StrongMed  3 роки тому +1

      Mean corpuscular volume in fL (MCV) = (Hct / RBC in million/microL) x 10. If the Hct is low, but RBC is normal, it just means that the MCV is low (i.e. the RBCs are unusually small), from something like thalassemia or iron deficiency.

  • @lolajohnson6057
    @lolajohnson6057 10 місяців тому

    How can these indices improve ?
    Are low indices indicated cancer?

    • @StrongMed
      @StrongMed  10 місяців тому

      I have a whole series on the diagnostic approach to anemia, which would include low hemoglobin, low hematocrit, and low MCV. Restoring them to normal depends on what the underlying cause is. There are many many causes of abnormal RBC indices - I recommend asking your primary care physician about your concerns re: your own test results.

  • @user-mn5my7qi2y
    @user-mn5my7qi2y 2 роки тому

    please , iam need this lecture as file PowerPoint

    • @StrongMed
      @StrongMed  2 роки тому

      Thanks for your interest. However, I'm very sorry, but I haven't provided my PPT files on request for years after catching far too many people (including university professors!) blatantly plagiarizing them.

  • @tonydebaka3967
    @tonydebaka3967 8 місяців тому

    you said that RBC is of no importance, and no clinical physician pays any attention to it, well is it not true that a high RBC means that the blood is more viscous and hence the propensity of blood clots increases is such a situation?!

    • @StrongMed
      @StrongMed  8 місяців тому

      No clinician pays attention to the literal red blood cell count as measured in cells per unit volume. If there was a concern for hyperviscosity, the hemoglobin or hematocrit are the parameters of interest.

    • @tonydebaka3967
      @tonydebaka3967 8 місяців тому

      @@StrongMed thank you Dr.for your prompt reply....i truly appreciate it. what i understood from your reply is that even with elevated RBC count if the hemoglobin and hematocrit are within normal range there is nothing to worry about. Did i get it right?

    • @StrongMed
      @StrongMed  8 місяців тому

      @@tonydebaka3967 The MCV (or mean volume of each RBC) is equal to the hematocrit divided by the RBC count, times 10. So if the hematocrit was normal, but the RBC count was elevated, it would suggest that the MCV might be unusually low. This wouldn't put one at risk from blood clots, but would suggest the *possibility* of an underlying condition that causes red blood cells to be abnormally small - most commonly iron deficiency or a genetic disease called thalessemia.

  • @selimamostafa8105
    @selimamostafa8105 2 роки тому

    من فضلك الترجمه للعربيه

  • @mrabin8098
    @mrabin8098 2 роки тому

    thank you so much