Hemoglobin and related parameters on CBC (complete blood count). Transfusion cutoff in NICU.

[@edithmwasi8479]

I really appreciate how you simplify Neonatology. You are a great teacher. Thanks.

[@SridharKs]

Thank you so much for your kind words

[@babariqbal413]

Very nice approach

[@SridharKs]

Thank you

[@imranshaik5880]

Sir, why platelet levels decreases in every sepsis baby ..... But platelet count criteria is not included in sepsis screen...

[@SridharKs]

Because it is nonspecific. And we see a reduction more in gram negative or fungal sepsis than gram positive

[@drliaqatalishah]

Mentzer index and thal major?

[@SridharKs]

Thalaseemia major usually doesn't confuse with iron deficiency as the clinical picture is severe, so it is mainly for Thal trait

[@SridharKs]

The principle involved is as follows: In iron deficiency, the marrow cannot produce as many RBCs and they are small (microcytic), so the RBC count and the MCV will both be low, and as a result, the index will be greater than 13. Conversely, in thalassemia, which is a disorder of globin synthesis, the number of RBCs produced is normal, but the cells are smaller and more fragile. Therefore, the RBC count is normal, but the MCV is low, so the index will be less than 13

[@drliaqatalishah]

@@SridharKs thanks sir