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Blood work results: CBC, CMP, Vit B12 and Folate

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  • Blood work results: CBC, CMP, Vit B12 and Folate

    I work at a reference lab so I get my horse's blood work done for free. I was really curious on the values and was wondering if the vets here can explain the values to me. My mare is healthy so this is more of an educational post for everyone.

    Blood was taken at 12pm.

    We'll start with Vit B and Folate values, then CBC, then the CMP.

    Vit B: >1000 pg/ml; CPS: 493,340
    Vit B: >5000 pg/ml; Diluton (5)CPS:

    Folate: 8.61 ng/ml; CPS: 1,607,325

    CBC panel

    Routine CBC

    WBC: 8.59 x 10^3 cells/uL
    RBC: 9.10 x 10^3 cells/uL
    HGB: 15.3 g/dL
    HCT: 40.9%
    MCV: 44.9 fL
    MCH: 16.8 pg
    MCHC: 37.4 g/dL
    CHCM: 38.4 g/dL
    CH: 17.2 pg
    RDW: 16.6%
    HDW: 2.43 g/dL
    PLT: 113 x 10^3 cells/uL
    MPV: 7.3 fL

    Addtional Routine Parameters:

    % Blasts Suspect: 0.3
    % Hyper: 10.5
    % Hypo: 0.0
    % Macro: 0.0
    % Micro: 96.8
    RBC Fragments: 0.71 x 10^6/uL
    RBC Ghosts: 0.02 x 10^6
    MNx: 16.1
    MNy: 11.6
    %MN: 34.8
    %PMN: 64.2
    Cellular HGB: 15.7 g/dL

    Routine WBC Differential

    WBC: 8.59 x10^3 cells/uL
    Neut: 6.4 %; 0.55x10^3 cells/uL
    Lymph: 33.2%; 2.85x10^3 cells/uL
    Mono: 52.5% ; 4.50x10^3 cells/uL
    Eos: 1.8%; 0.15x10^3 cells/uL
    Baso: 0.3% ; 0.03x10^3 cells/uL
    LUC: 5.9 %; 0.50x10^3 cells/uL
    LI: 1.86 x10^3 cells/uL
    MPXI: -26.6 x10^3 cells/uL
    WBCP: 8.90 x10^3 cells/uL


    ALB: 3.5
    TIBL: 1.6
    GLU: 79
    HDL: 49
    B/C: 17.1
    Na: 135
    ALP: 105
    CA: 12.1
    FE: 137
    LDL: 15
    LCL-C: 12
    K: 4.3
    ALT: 5
    CHOL: 65
    TP: 6.6
    UIBC: 258
    VLDL: 4
    Cl: 99
    AST: 220
    CK: 153
    TRIG: 22
    A/G: 1.1
    CHDR: 1.3
    CO2: 28
    CRE: 1.23
    BUN: 21
    AGAP: 8.0
    TIBC (Total Iron Blood Ct): 395
    DBIL: 0.46
    GGT: 9
    UA: 0.2
    GLOB: 3.1
    %SAT: 35
    "Common sense is so rare nowadays, it should be classified as a super power."-Craig Bear Laubscher

  • #2
    How do you know your horse is healthy if you don't know how to interpret the findings? Isn't there a handout that your lab has or "inside information" available to an employee???

    It's my understanding that different labs have different interpretations about what levels are "normal".
    "I'm not much into conspiracy theories but if everyone thinks alike you don't need a plot!" ~person from another bulletin board whose name has been long forgotten~


    • Original Poster

      Originally posted by Cherry View Post
      How do you know your horse is healthy if you don't know how to interpret the findings? Isn't there a handout that your lab has or "inside information" available to an employee???

      It's my understanding that different labs have different interpretations about what levels are "normal".
      Ok, maybe I didn't explain this well enough...

      My vet was at the barn for vaccinations and I brought some blood tubes to collect blood. I was curious on the findings as I work with human blood.

      My mare is of healthy weight, has a gorgeous bloom on her coat and is fit. I've had her since she was 9 months old (she's now 7) and I know when she is sick. My vet even commented on how she looks great.

      I've only found some levels for the CBC and everything is in normal range. It's the CMP that I cannot find values for the blood work.

      Remember, humans values differ from equine levels. I can tell you the Med Techs were impressed on how low her LDL and VLDL were on the result sheet.

      I faxed the results to my vet and post what he tells me later.
      "Common sense is so rare nowadays, it should be classified as a super power."-Craig Bear Laubscher


      • #4
        just fyi - each analyzer will have their own set of reference ranges which are established by the company who makes the analyzer and the lab that runs it(they do an extensive work up on every instrument!). So, you not only need to know the units the results are reported in, but the lab should have their own reference ranges to go along with it (I'm a med tech myself)

        I mainly work in Hematology now, so I'm not very familiar with chemistry ranges anymore. The HCT would be on the low range for my hospital (our normal is 42-52). Actually, I can tell this was probably ran on a Bayer Hematology analyzer (they are known for the CHCMs). I don't have many good things to say about it the MCHC is high (again for my lab), which should indicate the red cells are very full. Platelets are low (for my lab - our reference range is 150-450).

        Again I work for a human lab - I'm guessing that the automated diff isn't correct - otherwise your neutrophils are extremely low and monos very high (unless its quite different for a horse!)

        TIBC stands for Total Iron Binding Capacity

        To me the liver enzymes look a little wonky, AST looks high, ALT is low, and ALP is normal. If it was run on a Bayer instrument, I would not worry

        Anyhoo, be interested to see what reference ranges are for horses anyways