This report – Orris AI

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This report

Reading File

Finding Sources

Reading File

Here is a full interpretation of the CBC report for Manjoy, Male, 44 years old from Care Plus Medical Centre (dated 13-Jul-2026):

CBC Report Analysis

Patient Summary

Name: Manjoy | Age: 44 years | Sex: Male
Referred by: Dr. Divya B M | Setting: Outpatient (OP)

Parameter-by-Parameter Breakdown

Parameter	Value	Reference Range	Status	Interpretation
Haemoglobin (Hb)	12.8 g%	13.5-18.0 (Male)	⚠️ LOW	Mild anaemia
Total WBC Count	3,000 cells/cumm	4,000-11,000	⚠️ LOW	Leukopenia
Neutrophils	79%	50-70%	⚠️ HIGH	Neutrophilia (relative)
Lymphocytes	16%	20-40%	⚠️ LOW	Relative lymphopenia
Eosinophils	5%	1-6%	✅ Normal	Normal
Monocytes	0%	2-12%	⚠️ LOW	Mild
Basophils	0%	0-2%	✅ Normal	Normal
Platelet Count (PLT)	1.7 Lakhs/cumm	1.5-4.0	✅ Normal	Normal
RBC count	4.5 million/cumm	4.2-5.5	✅ Normal	Normal
PCV (Haematocrit)	36.3%	40-55% (Male)	⚠️ LOW	Reduced
MCV	80 fL	78-100 fL	✅ Normal	Normocytic
MCH	28 pg	27-34 pg	✅ Normal	Normal
MCHC	35 g/dL	30-36 g/dL	✅ Normal	Normal

Key Findings and Clinical Significance

1. Leukopenia with Relative Neutrophilia (Most Important Finding)

The total WBC is 3,000 cells/cumm - below the normal lower limit of 4,000. This is leukopenia.
Despite the low total count, neutrophils make up 79% (elevated percentage). This means the absolute neutrophil count is ~2,370 cells/cumm - which is borderline low (normal: 1,800-7,700).
The absolute lymphocyte count is ~480 cells/cumm (16% of 3,000), which is significantly low (normal: 1,000-4,800).
This pattern - leukopenia with neutrophilia - can be seen in:
- Bacterial infections (early phase, before full leukocytosis develops)
- Viral infections (especially dengue, typhoid, CMV, influenza, hepatitis)
- Medications (immunosuppressants, chemotherapy)
- Bone marrow suppression (early myelodysplasia, aplastic anaemia)
- Autoimmune disorders (SLE, Felty syndrome)
Per Goldman-Cecil Medicine, "acquired leukopenia can occur in response to infection, primary bone marrow disorders, autoimmune disorders, medications, environmental exposure, and vitamin deficiencies."

2. Mild Normocytic Anaemia

Hb = 12.8 g% (low for a male; normal ≥13.5 g%)
PCV = 36.3% (low for a male; normal 40-55%)
MCV = 80 fL (normal) - this is a normocytic normochromic anaemia (normal MCV, MCH, MCHC)
Possible causes: early iron deficiency, anaemia of chronic disease/inflammation, bone marrow suppression

3. Relative Lymphopenia

Absolute lymphocyte count ~480/cumm is significantly below normal
This is common in acute bacterial infections, steroid use, and viral illnesses like dengue

Overall Clinical Picture

The combination of:

Leukopenia
Low Haemoglobin + Low PCV
Relative neutrophilia with lymphopenia

...is a pattern frequently seen in acute infections (especially dengue fever, typhoid, or other viral febrile illnesses), early bone marrow suppression, or systemic inflammatory conditions.

Recommended Next Steps (for the treating doctor)

Clinical correlation with symptoms - fever, body ache, rash, joint pains?
NS1 antigen / Dengue IgM/IgG if febrile (dengue is common in Kerala)
Peripheral blood smear - to check for abnormal cells, left shift, or atypical lymphocytes
Widal test / Blood culture if typhoid suspected
Repeat CBC in 48-72 hours to monitor trend
Serum iron / Ferritin / B12 / Folate if anaemia persists after recovery

Disclaimer: This is an AI-assisted interpretation for educational/informational purposes only. The treating physician (Dr. Divya B M) should make all clinical decisions based on examination findings and complete clinical context.

Make me inderstand

Asking for Preferences

Sure! Let me break this down in plain, simple language - like explaining it to a friend.

🩸 Think of Your Blood as an Army

Your blood has different types of "soldiers" and "workers." This test (called a CBC) counts all of them to see if everyone is doing their job properly.

The Report in Simple Words

1. 🔴 Red Blood Cells - The Oxygen Carriers

Result: A little low

Think of red blood cells like delivery trucks that carry oxygen from your lungs to every part of your body. Manjoy has slightly fewer trucks than normal, and they are also carrying a little less oxygen than they should.

This means he may feel tired, weak, or short of breath more easily than usual.
It is not severe - just mild. Like being one or two trucks short, not a full breakdown.

2. ⚪ White Blood Cells - The Army (Soldiers that Fight Germs)

Result: LOW - only 3,000 when it should be at least 4,000

White blood cells are your body's soldiers that fight bacteria and viruses. Manjoy's army is smaller than normal right now.

A smaller army means the body is less equipped to fight infections.
This can happen when the body is already fighting a tough battle (like a virus or infection) and the soldiers have gone to the battlefield, OR when something is stopping the body from making enough soldiers.

3. 🔫 Neutrophils - The Front-line Fighters

Result: 79% - higher than normal (should be 50-70%)

Inside the white blood cell army, neutrophils are the front-line fighters - the first ones to rush toward any infection. A high percentage of them suggests:

The body has detected something (a germ, bacteria, or virus) and is sending these fighters out.
It is like most of your army is already deployed on the front line.

4. 🛡️ Lymphocytes - The Memory Soldiers

Result: Low - only 16% (should be 20-40%)

Lymphocytes are the "smart soldiers" that remember past infections and make vaccines work. They are low right now, which often happens during:

Viral infections (like dengue, flu, typhoid)
Or when the body is under stress

5. 🩹 Platelets - The Repair Crew

Result: Normal ✅

Platelets are tiny repair workers that seal cuts and stop bleeding. Manjoy's are perfectly fine - no worries here.

🧩 What Does the Whole Picture Say?

Putting it all together, Manjoy's blood report shows:

What	Simple Meaning
Low white blood cells	Body's defense army is small
High % of front-line fighters	They are already battling something
Low oxygen carriers	Mild tiredness/weakness
Normal platelets	No bleeding risk

This pattern is very common in:

🦟 Dengue fever (very common in Kerala, especially in July)
🤒 Typhoid or other viral fevers
💊 Certain medications
Some other infections

⚠️ What Should Happen Next?

The doctor (Dr. Divya B M) has already seen this report. Based on this, they would likely:

Check for dengue - a simple blood test (NS1 or dengue antibody test)
Monitor symptoms - fever, rash, body pain, headache?
Repeat this blood test in a day or two to see if numbers improve or worsen
Rest and stay hydrated in the meantime

The good news: None of these numbers are dangerously low. The platelet count is normal (which is the most important thing to watch in dengue). The doctor is on track - just follow their advice closely.

Is there a specific part you'd like me to explain further?

But platelet is normal

Yes, you're absolutely right! The platelet count is normal - and that's actually good news. Let me clarify what that means:

✅ Platelet Count = 1.7 Lakhs - NORMAL

The normal range is 1.5 to 4.0 Lakhs, and Manjoy's is 1.7 Lakhs - safely within range.

Why I Mentioned It

I brought up platelets because in dengue fever, the platelet count is the most important number to watch. It typically drops dangerously low as dengue gets worse.

The fact that platelets are still normal here means:

✅ No dangerous bleeding risk right now
✅ If this IS dengue, it may be in the early stage before platelets start to fall
✅ OR it could be a different illness altogether where platelets stay normal

The Concern Is Still the Low White Blood Cells

Even though platelets are fine, the low total white blood cell count (3,000) is the main thing that needs attention - because:

It means the body's defense system is weakened
It needs to be monitored closely - especially if there is fever
A repeat blood test in 1-2 days will show whether things are improving or getting worse

Bottom Line

	Status	Worry Level
Platelets	✅ Normal	Low - good!
White Blood Cells	⚠️ Low	Needs monitoring
Haemoglobin	⚠️ Slightly low	Mild concern

So yes - normal platelets is reassuring. The doctor just needs to keep an eye on the white blood cell count and find out why it's low. Most likely it's a viral or bacterial infection that the body is fighting.

Does Manjoy have any symptoms like fever, body pain, or headache?

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