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Adult normal ranges

Haematology

Hb 13.0–18.0g/dL (♂)
11.5–16.5g/dL (♀)
Haematocrit 0.40–0.52 (♂)
0.36–0.47 (♀)
RCC 4.5–6.5 × 1012/L (♂)
3.8–5.8 × 1012/L (♀)
MCV 77–95fL
MCH 27.0–32.0pg
MCHC 32.0–36.0g/dL
WBC 4.0–11.0 × 109/L
Neutrophils 2.0–7.5 × 109/L
Lymphocytes 1.5–4.5 × 109/L
Eosinophils 0.04–0.4 × 109/L
Basophils 0.0–0.1 × 109/L
Monocytes 0.2–0.8 × 109/L
Platelets 150–400 × 109/L
Reticulocytes 0.5–2.5% (or 50–100 × 109/L)
ESR 2–12mm/ 1st hour (Westergren)
Serum B12 150–700ng/ L
Serum folate 2.0–11.0μg/L
Red cell folate 150–700μg/L
Serum ferritin 15–300μg/L (varies with sex and age)
14–200μg/L (premenopausal ♀)
INR 0.8–1.2
PT 12.0–14.0s
APTT ratio 0.8–1.2
APTT 26.0–33.5s
Fibrinogen 2.0–4.0g/L
Thrombin time ± 3s of control
XDPs <250μg/L
Factors II, V, VIII, IX, X, XI, 50–150IU/dL
RiCoF 45–150IU/dL
vWF Ag 50–150IU/dL
Protein C 80–135U/dL
Protein S 80–135U/dL
Antithrombin 80–120U/dL
APCR 2.12–4.0
Bleeding time 3–9min

Biochemistry

Serum urea 3.0–6.5mmol/L
Serum creatinine 60–125μmol/L
Serum sodium 135–145mmol/L
Serum potassium 3.5–5.0mmol/L
Serum chloride 97–107mmol/L
Serum bicarbonate 20–29mmol/L
Serum albumin 32–50g/L
Serum bilirubin <17μmol/L
Serum alkaline phosphatase 100–300IU/L
Serum calcium 2.15–2.55mmol/L
Serum LDH 200–450IU/L
Serum phosphate 0.7–1.5mmol/L
Serum urate 0.14–0.46mmol/L
Serum total protein 63–80g/L
Serum γGT 10–46IU/L
Serum iron 14–33μmol/L (♂)
11–28μmol/L (♀)
Serum TIBC 45–75μmol/L
Serum ALT 5–42IU/L
Serum AST 5–42IU/L
Serum free T4 9–24pmol/L
Serum TSH 0.35–5.5mU/L

Immunology

IgG 5.8–15.4g/L
IgA 0.64–2.97g/L
IgM 0.5–2.0g/L
Complement
C3 0.68–1.8g/L
C4 0.18–0.6g/L
C1 esterase 0.18–0.54g/L
CH100 80–120%
C-reactive protein <6mg/L
Serum β2-microglobulin 1.0–3.0mg/L
CGF protein
IgG 0.013–0.035g/L
Albumin 0.170–0.238g/L
Urine protein
Total protein <150mg/24h
Albumin (24h) <20mg/24h

Adapted from Provan et al. (1998) Oxford Handbook of Clinical Haematology, Oxford University Press, Oxford (with permission).

Paediatric normal ranges

Haemostasis

Parameter Neonate Adult level
Platelet count 150–400 × 109/L As adult
PT Few seconds longer than adult Up to 1 week
APTT Up to 25% ↑ By 2–9 months
Thrombin time As adult
Bleeding time 2–10min As adult
Fibrinogen 2.0–4.0g/L As adult
Vitamin K-dependent factors
Factor II 30–50% adult level Up to 6 months
Factor VII 30–50% adult level By 1 month
Factor IX 20–50% adult level Up to 6 months
Factor X 30–50% adult level Up to 6 months
Factor V As adult
Factor VIII Variable: 50–200% adult level
vW factor Usually raised (up to 3 × adult level)
Factor XI 20–50% adult level 6–12 months
Factor XII 20–50% adult level 3–6 months
Factor XIII 50–100% adult level 1 month
FDP/XDP Up to twice adult level By 7 days
AT 50–80% adult level 6–12 months
Protein C 30–50% adult level Up to 24 months
Protein S 30–50% adult level 3–6 months
Plasminogen 30–80% adult level 2 weeks

Adapted from Provan et al. (1998) Oxford Handbook of Clinical Haematology, Oxford University Press, Oxford (with permission).

Normal FBC values at various ages from birth to 12 years

Age Hb (g/dL) Hct (L/L) MCV (fL) WBC (× 109/L) Neutrophils (× 109/L) Lymphocytes (× 109/L)
Birth cord blood 13.5–19.5 0.42–0.60 98–118 9–30.0 6–26 2–11.0
1–3 days 16.0–21.0 0.45–0.67 95–121 9.4–34.0 5–21 2–11.5
1 week 15.2–19.8 0.42–0.66 88–126 5–21.0 1.50–10 2–17.0
2 weeks 14.0–19.0 0.39–0.63 86–124 5–20.0 1–9.5 2–17.0
1 month 11.9–16.1 0.31–0.55 85–123 5–19.5 1–9.0 2.5–16.5
2–6 months 10.5–12.5 0.28–0.42 86–102 6–17.5 1–8.5 4–13.5
0.5–2 years 10.5–13.5 0.33–0.39 70–86 6–17.5 1.5–8.5 4–10.5
2–6 years 11.5–13.5 0.34–0.40 75–87 5.5–15.5 1.5–8.5 2–8.00
6–12 years 11.5–15.5 0.35–0.45 77–95 4.5–13.5 1.5–8.0 1.5–6.80

* Guidelines only: wide range in first weeks of life. Platelet count as adult.

Reference: Hinchliffe & Lilleyman, eds (1987) Practical Paediatric Haematology, John Wiley & Sons, Chichester.

Adapted from Provan et al. (1998) Oxford Handbook of Clinical Haematology, Oxford University Press, Oxford (with permission).