What it is: A monocyte count measures the number of monocytes, a type of white blood cell that cleans up cell debris and alerts other immune cells to threats, typically as part of a CBC with differential.
Why it's ordered: Ordered alongside a CBC with differential to help evaluate chronic infections, inflammatory conditions, or certain blood disorders.
What it detects: Monocytes mature into macrophages that clear damaged cells and pathogens. Elevated counts (monocytosis) can reflect chronic infection, inflammation, or certain blood cancers; low counts (monocytopenia) are less common and can reflect bone marrow suppression.
Collection & prep: A standard blood draw from a vein in the arm, as part of a CBC with differential. No special preparation is needed.
Results:
High – can reflect chronic infection, inflammation, or certain blood disorders
Normal – typically 2–8% of total white blood cells
Possible complications: Monocyte and basophil counts are technically the hardest white cell types to count precisely, so isolated mild abnormalities are often re-checked or interpreted alongside the full differential rather than acted on individually.
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