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Complete blood count

life science Maturity 7-9 Next article →

A complete blood count, or CBC, is a very common medical test. It provides important details about the cells living in your blood.

Blausen 0425 Formed Elements
Blausen 0425 Formed Elements

Doctors use this test to monitor health or find diseases. It looks at three main parts: red blood cells, white blood cells, and platelets. Red blood cells carry oxygen through your body. White blood cells are part of your immune system. Platelets are small parts that help form clots to stop bleeding.

Most laboratories use a machine called an automated hematology analyzer to do the work. The machine first mixes the blood sample to spread the cells out evenly. Then, it dilutes the sample and moves it into different channels. In one channel, the machine counts red blood cells and platelets. In another channel, it counts white blood cells and measures hemoglobin. Hemoglobin is the part of the red cell that carries oxygen.

Sysmex XT-4000i
Sysmex XT-4000i

To get better results, the machine may use hydrodynamic focusing. This makes the cells line up in a single file line. This way, the sensors can measure each cell one by one.

One famous way these machines work is called the Coulter principle. Wallace H. Coulter patented this method in 1953. It uses electrical impedance to count the cells. This means the machine measures how cells change the flow of electricity.

Particle Transit Channel
Particle Transit Channel

When a cell passes through a small opening, it causes a tiny drop in the electrical current. The size of that drop tells the machine how big the cell is. In the 1970s, scientists added optical measurements to these machines. This helped the machines identify different types of white blood cells.

People have been studying blood for a very long time. In 1852, Karl Vierordt shared the first way to count blood cells. He would spread blood on a slide and count every cell by hand. In 1874, Louis-Charles Malassez invented the hemocytometer to make this easier. Later, Paul Ehrlich and Dmitri Leonidovich Romanowsky created ways to stain cells.

Portrait of Dimitriy Leonidovitch Romanovsky Wellcome L0002501 (cropped)
Portrait of Dimitriy Leonidovitch Romanovsky Wellcome L0002501 (cropped)

These stains make the cells easier to see under a microscope. Maxwell Wintrobe also helped by creating a new method for measuring hematocrit in 1929.

Sometimes, a person must look at the blood by hand to be sure. This is called a manual blood smear review. About 10% to 25% of blood samples need this extra step. A person spreads the blood on a slide and adds stains. Then, they look at the cells under a microscope to check their shape.

Iron-deficiency Anemia, Peripheral Blood Smear %284422704616%29
Iron-deficiency Anemia, Peripheral Blood Smear %284422704616%29

This can help find things like anemia or infections. Anemia happens when there are not enough healthy red blood cells. The CBC helps doctors see if you need more iron or vitamins.

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🖼️ Images & Media (15)
File:Blausen 0425 Formed Elements.png
Blausen 0425 Formed Elements.png
CBC blood test.ogv
File:Sysmex XT-4000i.jpg
Sysmex XT-4000i.jpg
File:Particle Transit Channel.gif
Particle Transit Channel.gif
File:Sysmex WBC scattergrams.jpg
Sysmex WBC scattergrams.jpg
File:Packed cell volume diagram.svg
Packed cell volume diagram.svg
File:Iron-deficiency_Anemia,_Peripheral_Blood_Smear_%284422704616%29.jpg
Iron-deficiency_Anemia,_Peripheral_Blood_S...
File:Chronic Myeloid Leukemia smear 2009-04-09.JPG
Chronic Myeloid Leukemia smear 2009-04-09.JPG
File:Essential Thrombocythemia, Peripheral Blood (10189570483).jpg
Essential Thrombocythemia, Peripheral...
File:Reticulocytes_Human_Blood_Supravital_Stain.jpg
Reticulocytes_Human_Blood_Supravital_Stain.jpg
File:Neonate Blood Smear.JPG
Neonate Blood Smear.JPG
File:Red blood cell agglutination due to cold agglutinin.jpg
Red blood cell agglutination due to cold...

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