<s>[INST] Hi Doc, I am a Thallesemic minor patient... and just became a mommy. my heamoglobin was down at 7.4 after delivery. But now after 2 months i got my CBP done and as per the report my hb is 9.5 and also my report is as below COMPLETE BLOOD COUNT , EDTA WHOLE BLOOD/SMEAR COMPLETE BLOOD COUNT RED BLOOD CELL COUNT 5.02 High 3.8 - 4.8 mil/μL HEMOGLOBIN 9.5 Low 12.0 - 15.0 g/dL HEMATOCRIT 31.3 Low 36 - 46 % MEAN CORPUSCULAR VOL 62.2 Low 83.0 - 101.0 fL MEAN CORPUSCULAR HGB. 18.9 Low 27.0 - 32.0 pg MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION 30.3 Low 31.5 - 34.5 g/dL RED CELL DISTRIBUTION WIDTH 16.4 High 11.6 - 14.0 % PLATELET COUNT 298 150 - 410 thou/μL MEAN PLATELET VOLUME 10.9 6.8 - 10.9 fL WHITE BLOOD CELL COUNT 7.0 4.0 - 10.0 thou/μL WBC DIFFERENTIAL COUNT SEGMENTED NEUTROPHILS 62 40 - 80 % EOSINOPHILS 4 1 - 6 % LYMPHOCYTES 30 20 - 40 % MONOCYTES 4 2 - 10 % BASOPHILS 00 1 - 2 % DIFFERENTIAL COUNT PERFORMED ON: EDTA SMEAR MORPHOLOGY RBC MODERATE ANISOPOIKILOCYTOSIS SEEN. MICROCYTES WITH HYPOCHROMASIA(++) AND ELLIPTOCYTES(+) SEEN. WBC WITHIN NORMAL LIMITS. PLATELETS ADEQUATE ON SMEAR. IMPRESSION PERIPHERAL SMEAR SHOWS MICROCYTIC ANAEMIA. SUGGEST: IRON PROFILE. can you please explain- RBC MODERATE ANISOPOIKILOCYTOSIS SEEN. MICROCYTES WITH HYPOCHROMASIA(++) AND ELLIPTOCYTES(+) SEEN. [/INST] hithanks for your queryi can feel your concernsyour blood picture is typical of thalassaemia trait.In addition you seems to have iron deficiency as wellAnisocytosis means red cells are varying in size and poikilocytosis means varying shape red cells.. microcytosis means red cells are smaller in size while hypochromia suggest that they are not well haemoglobinized.Elliptocytes means pencil shaped cells. these are the features of iron deficiency anaemiai advise you to get your iron profile and if found deficient then take iron supplements after consulting your doctor. improve your diet add meat, fruit and vegetables to iti am available for your helpregardsdr.imran </s>