Paediatrics | Blood Report 1 Complete Blood Count (CBC)

Haemoglobin Concentration

< 10 [Significant anaemia] Fe deficiency a. Ch. haemolytic a. Hyper - splenism Aplastic a. Platelets Count Normal or Fe deficiency a. Ch. haemolytic a. ITP Hypersplenism Aplastic a.

10 [No or mild anaemia] ITP Bacterial infection Viral infection Platelets Count

Normal Bacterial infection Viral infection Differential Leukocyte Count

RCC Normal or Fe deficiency a.

RCC

RCC Normal or Hypersplenism

RCC Aplastic a. Band cells and PMN Bacterial infection Lymphocytosis Viral infection

Ch. haemolytic a.

Note: Pancytopenia Hypersplenism, Aplastic anaemia. Microcytic hypochromic anaemia Fe deficiency anaemia, Chronic haemolytic anaemia.

Paediatrics | Blood Report 2 Investigations to prove Fe deficiency anaemia: Serum iron. Iron binding capacity. Serum ferritin. Investigations to prove Haemolytic anaemia: Serum iron. Iron binding capacity. Haemolytic profile. Investigations to prove Pancytopenia BM aspirate and biopsy. Investigations to prove ITP BM aspirate. Investigations to prove Bacterial infection Blood culture, ESR, CRP. Investigations to prove Viral infection ELISA, PCR. Arterial Blood Gas (ABG)

Note: Look first at PH [Acidosis or Alkalosis?] Then Look at PCO2 AND HCO3. (If both normal and there is PH Mixed respiratory and metabolic acidosis)