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Complete blood counts on lower end of normal on routine physical

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Had a Complete Blood Count done as part of a routine physical a few weeks ago. All readings came back in range, albeit on the lower ends. However, absolute monocytes came back below 200 at 197 uL. Monocyte level was 4.8%. White blood cell count was 4.1 thousand/uL. Should I be concerned with absolute monocyte level?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 23 Doctors Online


Hello,

Thank you for asking your query at DoctorSpring.

I assume that you are a healthy induvidual with no chronic medical illnes. Your WBC count and Monocyte count and percentage is normal. Slighted elevated Monocyte count should not be evaluated in isolation. White blood cells consists of different types of cells like Neutrophils, Lymphocytes, Monocytes, Eosinophils etc. Their proption is dynamic and they are supposed to change in number in response to various stimuli. So a slight high monocytes actually means these cells are doing their duty.

Bottom line - Soft finding of no particular relevance. Absolute count Normal. If you are an otherwise healthy individual nothing to worry here.

Hope this helps
Please feel free to ask followup questions.

Thank you


Patient replied :

Thank you for your time, Doctor. In your response, I see where you speak to elevated or high monocyte levels. However, my absolute monocyte level was below normal. Does this change your analysis?

As additional info: no chronic illness. This was my first complete blood panel as part of a physical. Cholesterol did come back in the borderline high range (235 mg/dl). Working on diet to address that issue.

Does any of the foregoing change your analysis?

Thank you.


No, the analysis would be same.

Absolute Monocyte count is 4.8 % of 4100 which is 197 (196.8 to be exact). Sine the WBC count is in the lower range, absolute monocyte count is also normal. It just because the machines(computers) cannot interpret the values with context they highlight as 'high' or 'low'. I am sure your Doctor would have said the values are all normal.

No need for any concern. And yea do work on your diet
Wish you good health

Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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