Test Detail
Overview
Interpreting Results
Tests Included

Content created by

Written by
Dr. Betina Chandolia
BDS, MDS - Oral Pathology and Microbiology
Reviewed by
Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Complete Haemogram

(Hmg)
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Hmg Test Includes 25 testsView All
Complete Haemogram
You need to provide
Blood
This test is for
Male, Female
Test Preparation
  1. No special preparation required

Overview


What is Hmg?

Complete hemogram includes a series of test which includes complete blood count (CBC, also known as a complete blood cell count) along with Erythrocyte sedimentation rate (ESR). CBC is a test that provides information about blood cells like Red Blood Cells (RBC), White Blood Cells (WBC) and platelets. It is routinely performed to provide an overview of a patient's general health status. ESR is done to find out if any condition is causing inflammation in the body.

Why is Hmg done?


  • To monitor overall health as part of a routine check-up

  • To help detect a variety of disorders including infections, anemia, diseases related to the immune system, and blood cancers

  • To monitor an existing blood disorder

  • To monitor treatment that is known to affect blood cells such as chemotherapy or radiotherapy 

  • In case of signs and symptoms associated with temporal arteritis, systemic vasculitis, polymyalgia rheumatica, or rheumatoid arthritis


What does Hmg Measure?

The ESR depicts the rate at which red blood cells (erythrocytes) settle (sediment), in one hour, at the bottom of a tube that contains a blood sample. The test result is expressed in millimeters per hour (mm/hr).
In the presence of inflammation, the production of certain proteins mainly fibrinogen increases in blood. This high proportion of fibrinogen leads the red blood cells to form a stack (rouleaux formation) which settle quickly due to their high density.
The ESR test is a non-specific measure of inflammation. This is because other conditions other than inflammation can also affect ESR. Although, a high ESR can detect the presence of inflammation, it cannot provide any information regarding the cause and site of inflammation. Hence, an ESR test is done along with other tests.
Blood is composed of blood cells suspended in blood plasma (yellowish colored liquid). These blood cells include red blood cells (also called RBCs or erythrocytes), white blood cells (also called WBCs or leukocytes), and platelets (also called thrombocytes).


Red blood cells (RBCs) are the most abundant blood cells. RBCs contain hemoglobin which helps in the transport of oxygen to the tissues. RBC count is a measurement of the number of RBCs in a given volume of blood. 


Packed Cell Volume (PCV) or Hematocrit (Hct) is a measurement of the blood volume occupied by RBCs. It is expressed in percentage.


White blood cells (WBCs) are the main components of the immune system. They protect the body from various infections and cancers. Total Leucocyte count (TLC) is a measurement of the total number of leucocytes (WBCs) in a given volume of blood. 


There are five types of WBCs:

  1. Neutrophils

  2. Basophils

  3. Eosinophils

  4. Lymphocytes

  5. Monocytes


Differential Leucocyte Count (DLC) determines the percentage of different types of WBCs.

Neutrophils, Basophils, and Eosinophils are called Granulocytes because of the presence of granules inside these cells.


Absolute count of different types of WBCs is the measurement of their absolute numbers in the given volume of blood.


In addition to counting, measuring, and analyzing red blood cells, white blood cells, and platelets, this test also measures the amount of hemoglobin in the blood and within each red blood cell.


Platelet count - Platelets (also called thrombocytes) are disc-shaped cell fragments without a nucleus that help in blood clotting. Platelet count is a measurement of the number of platelets in a given volume of blood. 


Mean Platelet Volume (MPV) is a measurement of the average size of platelets.


Hemoglobin (Hb) -  Hemoglobin (Hb) is a protein found in red blood cells (RBCs) that carries oxygen from the lungs to the body tissues. It transports oxygen in exchange for carbon dioxide, and then carry the carbon dioxide back to the lungs and where it is again exchanged for oxygen. 


Mean Corpuscular Volume (MCV) is the average volume of a red blood cell.


Mean Corpuscular Hemoglobin (MCH) is the average amount of hemoglobin present in the average red cell.


Mean Corpuscular Hemoglobin Concentration (MCHC) is the average concentration of hemoglobin in a given volume of red cells.


Red Cell Distribution Width (RDW) is a measurement of the variability of red blood cell size and shape. 



Complete blood count (CBC) includes the following tests:


  • Packed Cell Volume

  • Hemoglobin

  • Platelet Count

  • Differential Leucocyte Count (DLC)

  • Differential Eosinophil Count

  • Differential Neutrophil Count

    -    Differential Monocyte Count

      -    Differential Granulocyte Count

                             -     Differential Lymphocyte Count

                             -     Differential Basophil Count

  • Absolute Monocyte Counts

  • Red Blood Cell Count

  • RDW SD (Red blood cell distribution width)

  • Total Leucocyte Count

  • Mean Corpuscular Volume (MCV)

  • Mean Corpuscular Hemoglobin (MCH)

  • Mean Corpuscular Hemoglobin Concentration (MCHC)

  • Mean Platelet Volume

  • Absolute Leucocyte Count

  •  Absolute Eosinophil Count

  •  Absolute Lymphocyte Count

  •  Absolute Basophil Count

  •  Absolute Granulocyte Count

  •  Absolute Monocyte Count

  •  Absolute Neutrophil Count

The ESR depicts the rate at which red blood cells (erythrocytes) settle (sediment), in one hour, at the bottom of a tube that contains a blood sample. The test result is expressed in millimeters per hour (mm/hr).

In the presence of inflammation, the production of certain proteins mainly fibrinogen increases in blood. This high proportion of fibrinogen leads the red blood cells to form a stack (rouleaux formation) which settle quickly due to their high density.
The ESR test is a non-specific measure of inflammation. This is because other conditions other than inflammation can also affect ESR. Although, a high ESR can detect the presence of inflammation, it cannot provide any information regarding the cause and site of inflammation. Hence, an ESR test is done along with other tests.


Interpreting Hmg results


Interpretations


Hematocrit (Hct)


40-52% (Male)



37-46% (Female)



31-43% (Child)


Hemoglobin (Hgb)



13.2-16.2 gm/dL (Male)



12.0-15.2 gm/dL (Female)

Red Blood Cell Count (RBC)


4.3-6.2x106/µL (Male)



3.8-5.5x106/µL (Female)



3.8-5.5x106/µL (Infant/Child)


White Blood Cell Count (WBC)



4.1-10.9x103/µL





DLC



Neutrophils

35-80%



Lymphocytes 

20-50%


Monocytes 

2-12%


Eosinophils 

0-7%


Basophils 

0-2%




Platelet Count (Plt)


140-450x103/µL







Red Cell Distribution Width (RDW)


Standard Deviation (SD)

35-47 fL

Mean Corpuscular Volume (MCV)


82-102 fL (Male)



78-101 fL (Female)


Mean Corpuscular Hemoglobin (MCH)                           


Mean Corpuscular Hemoglobin Concentration (MCHC)



27-34 pg



31-35 gm/dL



  Mean Platelet Volume (MPV)                           6.0-9.5 fL

 

Erythrocyte sedimentation Rate      

 The normal reference range for Erythrocyte Sedimentation Rate (ESR) is:

 

Men

0-15 millimetres per hour (mm/hr), or 0-20 mm/hr for men older than 50

Women

0-20 mm/hr, or 0-30 mm/hr for women older than 50

Children

0-10 mm/hr

Newborns

0-2 mm/hr



Tests Included (25 tests)


  • Complete Blood Count(includes 24 tests)

    Hemoglobin

    Platelet Count

    Red Blood Cell Count

    Packed Cell Volume

    Differential leucocyte Count (includes 6 tests)

    Absolute Monocyte Counts

    RDW SD

    Total Leucocyte Count

    Red Cell Distribution Width

    Mean Corpuscular Volume

    Mean Corpuscular Hemoglobin

    Mean Corpuscular Hemoglobin Concentration

    Mean Platelet Volume

    Absolute Leucocyte Count (includes 6 tests)

  • Erythrocyte Sedimentation Rate

NABL

Welcome to Asian Diagnostics, an organization that has been successfully delivering high quality medical Diagnostic Services in Karnataka and South India for over 15 years. Established in 1999, it is based out of Bangalore with branches in Mysore, Hassan and Vijayapura. Asian Diagnostics has continued to evolve over the years to cater to the needs of doctors and patients alike and offers an extensive range of clinical diagnostic tests making it a one-stop destination for the best in Diagnostic...
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