3Low hemoglobin, microcytic patternHemoglobin10.2Hematocrit32.3Red blood cells4.75MCV68RDW-CV18.2Hemoglobin is below the selected laboratory interval. MCV and RDW help frame the differential; they do not determine the cause.Possible considerationsIron deficiencyThalassemia or another hemoglobinopathyAnemia of inflammationSideroblastic processesUnranked possibilities for clinician review, not predicted diagnoses.The <8 g/dL intermediate review threshold is a prototype policy; only explicitly named critical triggers use institutional notification limits.Merck Manual ProfessionalARUP ConsultARUP Consult
3Small mean cell volume, interpreted with RBC and RDWMCV68Red blood cells4.75Hemoglobin10.2RDW-CV18.2MCV 68 fL meets the commonly used <80 fL morphology convention. A preserved or increased RBC count can coexist with microcytosis; compare iron status and hemoglobinopathy history.Possible considerationsIron deficiencyThalassemia or another hemoglobinopathyAnemia of inflammationLead exposureSideroblastic processesUnranked possibilities for clinician review, not predicted diagnoses.No adult Mentzer cutoff is used. Coexisting iron deficiency and thalassemia cannot be separated by these indices alone.ARUP ConsultARUP ConsultMerck Manual Professional
2Raised platelets in the rest of the panelPlatelets465Hemoglobin10.2MCV68White blood cells6.8Low hemoglobin, microcytosis and raised platelets can occur with iron deficiency, but do not establish it.Possible considerationsReactive thrombocytosisIron deficiencyInflammatory conditionsMyeloproliferative neoplasmsUnranked possibilities for clinician review, not predicted diagnoses.ARUP ConsultARUP Consult
2Other values outside the selected intervalsMCH21.5MCHC31.6These interval flags need context and should not be treated as independent diagnostic votes.Reference review is a prototype policy, not a diagnosis or a validated urgency threshold.University of Iowa Health CareUniversity of Iowa Health Care