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Haemoglobin Values

Please note: Hb and MCHC results are now reported in g/L instead of g/dL in line with national guidelines. This means a Hb previously reported as 12.5 g/dL will be reported as 125 g/L

blood sciences, haematology

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Full blood count (FBC)

Full Blood Count

A full blood count consists of haemoglobin, total white cell and differential counts, platelets and full red cell indices. All of these values are provided using a single EDTA sample. Please note that if venepuncture is difficult and mixing with anticoagulant delayed, micro-clot formation may cause a falsely low platelet count. If the full blood count results are abnormal or there is a specific indication on the request form, a blood film will be stained and examined microscopically.

 

blood sciences, haematology

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Referred Tests

Referred Tests

The following referred tests should be requested on a Haematology request form and the Department will make arrangements to send the sample on.

Abnormal Haemoglobinopathies

The Department offers a comprehensive haemoglobinopathy screening service, however occasionally samples are referred for further analysis or confirmatory testing. Laboratory staff will refer samples if appropriate.

Unidentified haemoglobin variants

Haematology Department
Haemoglobinopathy Laboratory
Central Middlesex Hospital
Acton Lane
London
NW10 7NS
 
or
 
High risk alpha thalassaemia
 
Molecular Haematology Department
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU

 

Pyruvate Kinase

Pyruvate Kinase assays are referred to Hammersmith Hospital. Please discuss with a Consultant Haematologist prior to requesting this test.

Kings College Hospital,

Red Cell Centre,

Red Cell Protein Laboratory,

Blood Sciences Laboratory,

Ground Floor Bessemer Wing,

King’s College Hospital,

Denmark Hill,

London SE5 9RS

 

Positive Malaria Results

When a positive malaria result is obtained we are required to refer blood films to the Malaria Reference Laboratory.

London School of Hygiene and Tropical Medicine
Keppel Street
London
WC1E 7HT
 
 

Dye Binding Test for Hereditary Spherocytosis (EMA)

 

Dept Special Haematology,

Hammersmith Hospital,

Du Cane Rd

London W12 OHS

 
 

ADAMTS13

University College Hospital London
235 Euston Road
London 
NW1 2BU
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Blood Films

Blood Film

If the full blood count results are abnormal or there is a specific indication on the request form, a blood film will be stained and examined microscopically. Blood films are spread and stained by a UKAS accredited automated method however in the event of analyser failure blood smears will be manually spread and stained which is currently an unaccredited procedure. Blood films requiring clinical comment will be referred to a Haematology Consultant or Registrar. Delay or marked temperature changes in transit can affect morphology.

blood sciences, haematology

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