To know what information hematocrit , hemoglobin , and ESR provide to physician we first have to know that what all these term means
1. Hematocrit .: It is the total presence of red blood cells in the whole blood volume per liter
For explanation
let the total blood volume is 5 ltrs so all the volume is not due to red blood cells . It also contain plasma cells , serum and rbc , platelets
Hematocrit tell us the percentage of red blood cell in blood
The normal range is
In female it is 37 - 47 percent
In male it is 40 -54 percent
What benefits physician have from this test ?
If hematocrit level is high then the probable diagnosis can be
Polycythemia - it is a condition in which RBC level increase in blood and blood become sticky and thick and there is problem in circulation of blood
If hematocrit level is low this is indicative of anemia
2. HEMOGLOBIN
It is a protein which is usually present in RBC ans which carries oxygen with it
Normal level of hemoglobin are
In female 11.5 to 16.5 g/dl
In men 13 to 18 g/dl
Diagnosis
If it is low then there is anemia
Now you will be confused between hematocrit and hemoglobin as both decrease in anemia
Let's understand this with a example
Assume RBC as a bag and hemoglobin as books inside the bag
Now if the bags are decreased then automatically books will decrease
So in the same way anemia is defined as the low conc of hemoglobin then the normal level of hb
Hemoglobin can also be helpful in diagnosis of some other condition such as thalassemia and sicke cell disorders
Condition in which hemoglobin is high
It is physiologically high in infants
It is high in patient who are living in high altitude
It is also more in patient with smoking habits
3. ESR erythrocyte sedimaention rate
It is not specific for any disease . It is a prognostic test which tell us that there is something wrong in the body
Normally what we do is take the blood and put it in Wintrobes tube and the erythrocyte sediment at the bottom of the tube
This ESR usually increase in inflammation but also increase in some other condition such as anemia , pregnancy , infection . It is not a diagnostic test . It only tells us that there is some problem in the body . Doctor usually do this test to check the progress of the treatment
Hope you find this helpful thankyou ☺️?
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