RBC Size and Color Descriptions

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RBC Size and Color Descriptions

The terms for the size and color of red blood cells (RBCs) are combined to describe the RBC morphology observed on the slide. These descriptions take into account the indices reported by the automated instrument. This may then be used to categorize anemia and provide directions for additional testing.
Examples of morphologic descriptors are shown in the table below.
Table 1: RBC Descriptive Terms
MCV and MCHC
Peripheral Smear Observations
Descriptive Terms
80-100 fL
32-36 g/dL
Normocytic/Normochromic
(normal size and normal color/normal hemoglobin concentration)
<80 fL
<32 g/dL
Microcytic/Hypochromic
(small size and reduced color/reduced hemoglobin concentration)
>100 fL
32-36 g/dL
Macrocytic/Normochromic
(large size and average color/average hemoglobin concentration)