Please do a review on basic chem panels and values. What a doctor looks for when reading them. Comprehensive panel, iron profile, lipid panel, electrolyte panel, renal panel, your cardiac biomarkers. Lab result interpretation is an essential skill. Great video!!!!
Thanks for the comment and suggestions! I have a few videos on lab interpretation already - mostly on individual electrolyte abnormalities, but also ones on the interpretation of LFTs (th-cam.com/video/UrrXITkyb2c/w-d-xo.html&) and the UA (th-cam.com/video/xUP0tJPm4V4/w-d-xo.html), both of which I was pretty happy with. A video on the iron panel will be posted next week (around Wed +/- a day).
Thank you so much our best teacher ❤️ I'm really wondering why doesn't this kind of well prepared and presented informations get a lot of views and likes ? I'm afraid that would have a negative feedback on our teacher 😣😣
Very important for docs to know about TRT patients is there is a self regulation mechanism with Hematocrit and a 50-70 is common. And even patients in Colorado at 1k feet in the air only have 53-60% hematocrit. And if there are issues require Jak2 and other cancer gene markers to diagnose.
Thanks for making and sharing this well-organized video. One minor note -- I don't believe it's quite correct to say that a low MCH correlates with hypochromia. If the cells are small but the MCHC is normal, MCH will be low but there will not be hypochromia. I believe it would be more accurate to say low MCHC correlates with hypochromia. This is somewhat academic since, in practice, they're all correlated 😂
Thanks for this info ! My mch and mcv came back slightly low with my Rbc being a little high . My hemoglobin was normal but I do have some iron deficiency symptoms
Great lecture! Just one issue...you said that the hematocrit has low significance value... It is actually very imp in determining states like polycythemia or pcv
Thanks for the feedback. I just listened to the video again to make sure I didn't misspeak. I say that the # of RBCs is the value with limited importance, not the hematocrit. Also, that typically either the hematocrit or hemoglobin is reported on rounds - there is little reason to discuss both since they almost always trend in the same direction and by the same relative magnitude. Polycythemia vera is usually diagnosed based on elevated hemoglobin and/or hematocrit. I'm not a hematologist, but I have not personally seen the RBC count used as a major, independent criteria for the diagnosis (though doing so does not seem unreasonable).
Hello Strong medicine. First of all, thank you for the videos. Second, do you have any plans of making "How to Interpret white blood cells Indices "? Thanks in advance. Greetings from Brazil.
you said that RBC is of no importance, and no clinical physician pays any attention to it, well is it not true that a high RBC means that the blood is more viscous and hence the propensity of blood clots increases is such a situation?!
No clinician pays attention to the literal red blood cell count as measured in cells per unit volume. If there was a concern for hyperviscosity, the hemoglobin or hematocrit are the parameters of interest.
@@StrongMed thank you Dr.for your prompt reply....i truly appreciate it. what i understood from your reply is that even with elevated RBC count if the hemoglobin and hematocrit are within normal range there is nothing to worry about. Did i get it right?
@@tonydebaka3967 The MCV (or mean volume of each RBC) is equal to the hematocrit divided by the RBC count, times 10. So if the hematocrit was normal, but the RBC count was elevated, it would suggest that the MCV might be unusually low. This wouldn't put one at risk from blood clots, but would suggest the *possibility* of an underlying condition that causes red blood cells to be abnormally small - most commonly iron deficiency or a genetic disease called thalessemia.
Im sorry im a little confused, whats the difference between hemoglobin and mchc? I get that mch is the average amount of hemoglobin in a single rbc, but both hemoglobin and mchc are the amount of hemoglobin in a volume of blood right? Theyre even expressed in the same unit. Whats the difference?
I have a whole series on the diagnostic approach to anemia, which would include low hemoglobin, low hematocrit, and low MCV. Restoring them to normal depends on what the underlying cause is. There are many many causes of abnormal RBC indices - I recommend asking your primary care physician about your concerns re: your own test results.
Thanks for your interest. However, I'm very sorry, but I haven't provided my PPT files on request for years after catching far too many people (including university professors!) blatantly plagiarizing them.
Mean corpuscular volume in fL (MCV) = (Hct / RBC in million/microL) x 10. If the Hct is low, but RBC is normal, it just means that the MCV is low (i.e. the RBCs are unusually small), from something like thalassemia or iron deficiency.
Great overview video on some essential bloodvalues! Great for medical students 👍
Great video!the details are clearly explained. I was about to pay $100 to a doctor for him to interpret my results. Thanks for uploading!
Please do a review on basic chem panels and values. What a doctor looks for when reading them. Comprehensive panel, iron profile, lipid panel, electrolyte panel, renal panel, your cardiac biomarkers. Lab result interpretation is an essential skill. Great video!!!!
Thanks for the comment and suggestions!
I have a few videos on lab interpretation already - mostly on individual electrolyte abnormalities, but also ones on the interpretation of LFTs (th-cam.com/video/UrrXITkyb2c/w-d-xo.html&) and the UA (th-cam.com/video/xUP0tJPm4V4/w-d-xo.html), both of which I was pretty happy with.
A video on the iron panel will be posted next week (around Wed +/- a day).
Strong Medicine I was gonna request for iron studies and you already have it coming. Thanks.
Thank you Doc, you explained it in such a way that it's impossible to forget!
Are u Italian?
Thank you so much our best teacher ❤️ I'm really wondering why doesn't this kind of well prepared and presented informations get a lot of views and likes ? I'm afraid that would have a negative feedback on our teacher 😣😣
Thanks for your effort in making these educational videos.
Wow ! Thank you for this Video Tutorials. Its very informative and helps me alot. More power, support from the Philippines ❤
this is extremely useful coming from a clinician
Excellent job as always! I don’t think there’s any other easier way to learn this.
Great video as always.
I'm excited for the upcoming anemia lectures.
Very important for docs to know about TRT patients is there is a self regulation mechanism with Hematocrit and a 50-70 is common. And even patients in Colorado at 1k feet in the air only have 53-60% hematocrit. And if there are issues require Jak2 and other cancer gene markers to diagnose.
I should send this to my doctor. Awesome and informative!
Thank you for teaching us...
Thank you very much for your time and efforts.
Thanks for making and sharing this well-organized video. One minor note -- I don't believe it's quite correct to say that a low MCH correlates with hypochromia. If the cells are small but the MCHC is normal, MCH will be low but there will not be hypochromia. I believe it would be more accurate to say low MCHC correlates with hypochromia. This is somewhat academic since, in practice, they're all correlated 😂
Dr strong making our medicine strong
Thanks for breaking this down
Thanks for this info ! My mch and mcv came back slightly low with my Rbc being a little high . My hemoglobin was normal but I do have some iron deficiency symptoms
You may want to consider checking your ferritin level it gives a better picture of your current iron storage
So what did your gp say?
Thank u for make this video, it help me a lot for a better understanding.
Thank you so much! As a nurse practitioner I have been reviewing laboratory values and this is very helpful. Thank you
my hero
Excellent explanation . Thank you .
I like the piano track dr strong ❤️
Great lecture!
Just one issue...you said that the hematocrit has low significance value...
It is actually very imp in determining states like polycythemia or pcv
Thanks for the feedback. I just listened to the video again to make sure I didn't misspeak. I say that the # of RBCs is the value with limited importance, not the hematocrit. Also, that typically either the hematocrit or hemoglobin is reported on rounds - there is little reason to discuss both since they almost always trend in the same direction and by the same relative magnitude. Polycythemia vera is usually diagnosed based on elevated hemoglobin and/or hematocrit. I'm not a hematologist, but I have not personally seen the RBC count used as a major, independent criteria for the diagnosis (though doing so does not seem unreasonable).
2:40
Im saying this because i had an issue with increased hb and hct...
And i got tested for Jak2 exon ...
Ps - great job otherwise
Great video! Thankyou
thank you so much
Thanks so much
great video
Not sure if you've done this but anemias would be a good branch off of this. I have 38 pages of notes on them and wish I had a good video!
I've made a whole series on anemia that's rolling out tomorrow!
Helpful! Thank you so much
Hello. Should I be worried if my mchc is Slightly higher of 1g/l only?
The normal value is 316-354 G/L and my result is 355..
Thank you so much
I'm sorry, but I can't offer specific, individualized medical advice here. I recommend speaking to your own physician about your concerns.
Thanks much@@StrongMed
My result is 14.3
May God give you good health. Give me your opinion
11.4 to 12.6 is optimal as per latest studies
Thank you so much very helpful video..looking up for upcoming videos
What's the name of the song in the begining?
Mozart alla turca
Hello Strong medicine. First of all, thank you for the videos. Second, do you have any plans of making "How to Interpret white blood cells Indices "? Thanks in advance. Greetings from Brazil.
Yes, some day... I wish I could estimate when!
Sir i hve 5.6 RBC and 13.4 Hamoglbin... Is it good or i should go to dpctor
Heart Failure
you said that RBC is of no importance, and no clinical physician pays any attention to it, well is it not true that a high RBC means that the blood is more viscous and hence the propensity of blood clots increases is such a situation?!
No clinician pays attention to the literal red blood cell count as measured in cells per unit volume. If there was a concern for hyperviscosity, the hemoglobin or hematocrit are the parameters of interest.
@@StrongMed thank you Dr.for your prompt reply....i truly appreciate it. what i understood from your reply is that even with elevated RBC count if the hemoglobin and hematocrit are within normal range there is nothing to worry about. Did i get it right?
@@tonydebaka3967 The MCV (or mean volume of each RBC) is equal to the hematocrit divided by the RBC count, times 10. So if the hematocrit was normal, but the RBC count was elevated, it would suggest that the MCV might be unusually low. This wouldn't put one at risk from blood clots, but would suggest the *possibility* of an underlying condition that causes red blood cells to be abnormally small - most commonly iron deficiency or a genetic disease called thalessemia.
Shat does high rbc high rdw low mcv low mch low mchc mean?
Hi, can some one please tell me how i can work out my red blood cell count from hematocrit % (expressed as: ?.? mil/ul)?
Im sorry im a little confused, whats the difference between hemoglobin and mchc? I get that mch is the average amount of hemoglobin in a single rbc, but both hemoglobin and mchc are the amount of hemoglobin in a volume of blood right? Theyre even expressed in the same unit. Whats the difference?
Mch is amount mchc is concentration of Hb
Does RBC count also includes reticulocytes?
How to increase hematocrit, and decrease RDW by food and any other advice
I'm sorry, but I can't offer specific, individualized medical advice here. I recommend speaking with your physician about your health concerns.
strangely i have low MCV (68-69) but my B12 value is every high (700pg/ml) , whats that mean ?? some insight are appreciated
What about a high MCV and high hct ?
How can these indices improve ?
Are low indices indicated cancer?
I have a whole series on the diagnostic approach to anemia, which would include low hemoglobin, low hematocrit, and low MCV. Restoring them to normal depends on what the underlying cause is. There are many many causes of abnormal RBC indices - I recommend asking your primary care physician about your concerns re: your own test results.
CBC test for testosterone ?
Is 4.3rbc consider low
WBC?
please , iam need this lecture as file PowerPoint
Thanks for your interest. However, I'm very sorry, but I haven't provided my PPT files on request for years after catching far too many people (including university professors!) blatantly plagiarizing them.
hi how about hct is low but rbc ct normal
Mean corpuscular volume in fL (MCV) = (Hct / RBC in million/microL) x 10. If the Hct is low, but RBC is normal, it just means that the MCV is low (i.e. the RBCs are unusually small), from something like thalassemia or iron deficiency.
Why
Why what?
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thank you so much