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Red Blood Cell Morphology Examination (Peripheral Blood Smear Analysis)

Published: August 9, 2026Updated: August 16, 2026

This test examines the shape and appearance of your red blood cells under a microscope. It helps identify abnormalities that may signal underlying health conditions.

Quick summary

["Abnormal red blood cells can signal conditions like anemia, infections, or other blood disorders."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
774-0
Short code
Ovalocytes Bld Ql Smear
Synonyms
Ovalocytes Bld Ql Smear
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Is a Peripheral Blood Smear?

A peripheral blood smear involves spreading a thin layer of your blood on a microscope slide. A healthcare professional then examines the red blood cells (RBCs) and other blood components for any irregularities in shape, size, or count. This is often done as part of a routine blood test or to investigate symptoms like fatigue, pale skin, or unexplained bruising.

Why Might You Need This Test?

Your doctor may order this test if you have symptoms like fatigue, pale skin, easy bruising, or unexplained bleeding. It can also be used to diagnose or monitor conditions such as anemia, infections, or blood disorders like thalassemia or sickle cell disease.

What to Expect Before the Test

You will typically have a small needle inserted into your arm to draw a small amount of blood. The blood is then spread thinly on a slide and examined under a microscope. No special preparation is needed, but inform your doctor about any medications or conditions that might affect the results.

What Happens During the Test?

After your blood is drawn, it is processed and sent to a lab where a trained technician examines the smear under a microscope. They look for various cell shapes, including ovalocytes (oval-shaped red blood cells), which can indicate certain health concerns.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Ovalocytes, which are red blood cells that appear oval-shaped instead of the usual biconcave disc shape, may be found in conditions such as iron deficiency anemia, certain genetic blood disorders, or liver diseases. While ovalocytes themselves are not always harmful, their presence often signals an underlying issue that requires further evaluation by your healthcare provider.

Short name

Red Blood Cell Shape Check

Frequently asked questions

What Are Ovalocytes?
Ovalocytes are red blood cells that have an oval shape rather than the typical round, biconcave disc shape. This can sometimes be a normal variation, but it may also indicate an underlying health problem.
Can Ovalocytes Be Normal?
Yes, in some cases, ovalocytes can be a normal finding, especially in certain ethnic groups or in individuals with specific genetic traits. However, if they are present in large numbers or accompanied by other symptoms, they may warrant further investigation.
What Conditions Might Cause Ovalocytes?
Ovalocytes can be associated with conditions like iron deficiency anemia, hereditary ovalocytosis, liver disease, or certain types of thalassemia. Your doctor will consider your symptoms, medical history, and other test results to determine the cause.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy