Erythrocyte Sedimentation Rate (ESR); What Does This Lab Test Really Mean?

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5 жыл бұрын

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Пікірлер: 358

@MedicosisPerfectionalis 2 жыл бұрын

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@startingpointformedicose1731 4 жыл бұрын

Bcz females have normally less RBC count than males. So, less negative charges on RBC , less repulsions and more chances of sedimentation and thus more ESR. Also Anemia is very common in women that is also the reason

@Aaron6224 3 жыл бұрын

Yeah i also think that is the reason

@pasdpasse439 Жыл бұрын

yay I got that right

@abrarfaiyaz8473 7 ай бұрын

Period and pregnancy are also the causes of high ESR!

@ethansatterly3446 3 жыл бұрын

We need more medical educational videos like this. It's formatted in a casual, yet extremely educative way.

@orientalflower1900 5 жыл бұрын

Women generally have less Hb concentration than their men counterpart, hence relative "anemia'" leading to less negatively repulsion, therefore increase in ESR.

@MedicosisPerfectionalis 5 жыл бұрын

Brilliant 👍

@miesarmaqbool3203 5 жыл бұрын

Wow..i was jus serching

@mahasundar6304 4 жыл бұрын

According to negative charge,male has more rbc so more negative charge so more repuslsion and so esr might increase but in female less no of cell ,less repulsion so more sediment rate is faster but how...??

@renusah1114 4 жыл бұрын

@@mahasundar6304 due to -ve charge i.e.repulsion ESR decreases

@Greysm. 4 жыл бұрын

There sure is hope for u

@JPCPSeto 5 жыл бұрын

The arrow is at the wrong place at 3:00. You measure the distance the RBCs have fallen down, so you meausre it from the top.

@MedicosisPerfectionalis 5 жыл бұрын

You’re absolutely correct...That’s a terrible mistake that I have made...Thanks for letting me know.

@yogeeta-4477 3 жыл бұрын

Yesss, that’s what I was thinking about. Btw thanks for amazing videoo✨

@jkelly02 Жыл бұрын

Thanks for admitting the mistake. The math worked out though. Very nice video.

@allfreetechhub Ай бұрын

@@MedicosisPerfectionalis : Thanks for clarifying that. I was wondering about that, when answering your question in the end. Based on that, ESR should have been lower in women

@yomnahassan9406 3 жыл бұрын

I've watched almost all the hematology playlist and it's just amazing .. the Best explanation ever! Thank you.. you saved me!

@erasharma8603 4 жыл бұрын

Ur way of teaching is quite interesting... 😂😂.

@JayyThao 3 жыл бұрын

I honestly love how honest you are. Ty!

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@ghoshta4204 3 жыл бұрын

wow this video is two years ago, thank you so much it was sooo helpful well, females have higher ESR because they have less RBCs number in their blood so the rouleaux will form faster than males who have more RBCs count. thanks to you I really understood this in 12 min!

@MedicosisPerfectionalis 3 жыл бұрын

Gho Shta My pleasure 😇

@tygreazoghepi892 3 жыл бұрын

I don't know why but watching on this channel make me happy thanks for making our courses easy

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@saadelfallah 3 жыл бұрын

Great explanation, I benefited a lot from it, thanks for the effort

@syimahlee9399 5 жыл бұрын

Glad i read the video description after watching the video. I thought the video making me more confuse. Finally i can grab the concept thank you !!!

@MedicosisPerfectionalis 5 жыл бұрын

You’re very welcome 😊

@terraslife6270 2 жыл бұрын

Great video. A correction though: sickled cells can be present in sickle cell trait. Some people have up to 40%. Which means then, that the ESR can be raised in sickle cell trait.

@zoedobbels7159 4 жыл бұрын

Hi, thanks for the video! Can you please explain why leucocytosis and thrombocytosis decrease ESR (is it also the negative charges?). And also, why does cryoglobulinemia decrease ESR (I would think it should have the same consequence as increased globulins)? Thank you!

@MafiaBrothers15 5 жыл бұрын

Imagine RBC for cars,more the cars,more time for parking,less speed or rate of parking

@MedicosisPerfectionalis 5 жыл бұрын

That's a good one :)

@ayhantekinn 4 жыл бұрын

I like the way ur teaching. The vid was fun and helped me a lot thx. :)

@MedicosisPerfectionalis 4 жыл бұрын

Awesome 👏

@floopydisc 4 жыл бұрын

Hi medicosis! As a rheumatology fellow, I have enjoyed getting a grasp on a few concepts through your videos so thanks! Also as a rheumatology fellow, I do feel I must let you (and the public at large) know that the ESR is most definitely NOT the most useless test around. True, it's non-specific and in most cases, does not add useful knowledge. However, in rheumatology, the combination of the values of ESR and PCR are of inestimable value to distinguish between disease activity, infection, macrophage activation syndrome etc!!

@MedicosisPerfectionalis 4 жыл бұрын

Can you tell me more about the last part?

@floopydisc 4 жыл бұрын

@@MedicosisPerfectionalis Gladly :) First of all, as I'm learning in my residency, it can be incredibly hard to distinguish a flare in the disease activity from an infection and the implications of getting it right, are obviously huge as the treatments are opposite. Increase the immunosuppression in an infection and the germ will kill you, lower the dose in a flare and the cytokine storm will. One of the things which help hugely, is the ratio between ESR and PCR, as PCR usually does not raise in a flare, and ESR clearly does (doi: 10.1177/0961203318763732). Apart from that, we tend to see our patients every three months with lab results, and fluctuations in ESR in patients with lupus, inflammatory myopathies, arthritis etc correlates incredibly well with the disease activity! But perhaps the most useful case of the ESR is in the patient with a suspicion of macrophage activation syndrome (which can easily endanger their lives very quickly). Just yesterday we had a patient who was hospitalized because of a disease flare. He had had ESR elevated during his stay and then yesterday the ESR dropped completely and PCR went up (ESR-PCR dissociation). We did the work-up and he had a clear case of MAS. So yes, when used in the right circumstance, it is of incredible value, but I totally agree that it is DEFINITELY not for routine use.

@subigya01 2 жыл бұрын

@@MedicosisPerfectionalis ESR being an inflammatory marker can be a good tool to differentiate symptoms if they are inflammatory or non-inflammatory which, in turn, is invaluable in rheumatology to arrive at a diagnosis, and also gauge the response to therapy. It's simple, inexpensive, and yet a powerful tool provided how you use it.

@yes_man_lol Жыл бұрын

PCR what is it?

@mohammedjeouit6483 Жыл бұрын

@@yes_man_lol I think he meant to say C-reactive protein

@wolfy8006 5 жыл бұрын

3:38 As a lab Technologist, I could confirm

@MedicosisPerfectionalis 5 жыл бұрын

😅😂

@Sevendandra 3 жыл бұрын

Me too! Lol

@samaraltayar5548 2 жыл бұрын

thank you so much .this video is great .finally i could understand every thing about this test

@MedicosisPerfectionalis 2 жыл бұрын

Awesome 👏

@yazdanyounesi2788 3 жыл бұрын

It’s really awesome, very clear explanation 👍🏻👍🏻 Thank you so much 🍀🎉🙏🏻

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@Hi-ny6iq 3 жыл бұрын

I can't express how much I loved this video omg hahahahahaha thanks alooot for this wonderful explanation.

@shamskadhim4188 4 ай бұрын

You are literally a treasure sir Thank you! Every topic in this channel well explained

@tanvibodas2847 4 жыл бұрын

This channel is just amazing....you've made it easy for us😜...thanks

@MedicosisPerfectionalis 4 жыл бұрын

My pleasure 😇

@gcvoon286 3 жыл бұрын

Easy to understand, great video on this subject.

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@alaamincr 2 жыл бұрын

How a great channel is "medicosis "! thanks allot . ESR is usually higher in female because females have relatively lower RBCs count than males ,I think that but could higher .

@charanpunj6116 4 жыл бұрын

Hi , mine is 28mm/hr it says abnormal on the report . Should I be worried ?

@pankizta1 5 жыл бұрын

Wow your lectures helped us a lot! I hope you'll continue to share your knowledge! more power to you sir! Kudos!!!

@MedicosisPerfectionalis 5 жыл бұрын

Thanks a ton 😊😊

@linopango3145 11 ай бұрын

Question: i've read everywhere that ESR of a sample is the distance between the plasma surface and the top of sedimentated in 1 h. So we should measure the yellow column in 1h? Because in this video it seems we should measure the red one. Thank you

@eslamr.moustafa9705 4 жыл бұрын

First minute in, subscribed and notification squad alreadyyyy, im sold 😂😂😂👌

@MedicosisPerfectionalis 4 жыл бұрын

Wow 🤩 Thank you so much 😊, brother

@eslamr.moustafa9705 4 жыл бұрын

@@MedicosisPerfectionalis You've earned it, keep it up ❤🙌

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 🙏

@sainidhi5617 3 жыл бұрын

I have read in a book that, esr is high in newborns and infants... can you please tell me the reason for that. I had actually thought that, esr would be low because they have a higher RBC count (more repulsions, so less sedimentation).

@naimanasrin7073 3 жыл бұрын

ur way of teaching is very nice and its helpd me aloot tnx ☺️🤝

@waktolemekonen2316 3 жыл бұрын

best way of explanation. I love it.

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@lavanyakumari6603 3 жыл бұрын

Thank you thank you thank you soo much!! U r the BEST!!

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@AS.Se7en 2 жыл бұрын

hey bro my test result is 6mm/hr but last year it was 1mm/hr. Does it show anything?

@noorhamed4690 5 жыл бұрын

Fantastic doctor.....why red blood cell in ESR is stick to gather or why accur roulex

@abhiramyoutubechannelabhi5295 2 жыл бұрын

Hi i hve one doubt my son is 3yeras old and actually his esr rate is 20mm per 1minute and frm fast 15 days he is suffering from ichtihing and he is suffering a lot any solution for it

@amaebarnes 3 жыл бұрын

What is the normal range for a prepubescent girl, aged 11? It's been hard to find consistent info

@jannatulnishat Жыл бұрын

The way u crack jokes, i just love it...😍 Awesome explanations, best of luck...❤️

@MedicosisPerfectionalis Жыл бұрын

Thank you 😊

@ELSEDEM 2 жыл бұрын

Simply awesome...keep doing what you're doing😍😘🤩

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 🙏

@asmaasaad922 4 жыл бұрын

Thank you for your effort

@MedicosisPerfectionalis 4 жыл бұрын

My pleasure 😇

@shwetakanwar8194 2 жыл бұрын

You are amazing 😍 love the way you teach

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 😊

@rauminah.g Жыл бұрын

Enjoyed a lot.thanks.

@MedicosisPerfectionalis Жыл бұрын

My pleasure 😇

@lucasbiaggini 9 ай бұрын

I´m a Pathology resident currently preparing for my board exam. I can confirm that ESR is garbage and all of us in the lab despise it.

@MedicosisPerfectionalis 9 ай бұрын

I wish you success!

@catrina5808 3 жыл бұрын

I have an exem tomorrow, you helped me , thank you!

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@poojasapkal7536 2 жыл бұрын

My sister was 24 yrs old when she had rheumotid arthritis . Now she is 26 and she is taking ayurvedic medicine . Her crp is 13.6 and esr 50 is it too high or ok for her .?? Please tell me🙏🙏

@gm2407 Жыл бұрын

This was a great video. I feel so much more informed. Hoping the high count was nothing. Getting another test in 4 months.

@MedicosisPerfectionalis Жыл бұрын

Good luck 🍀

@gm2407 Жыл бұрын

@@MedicosisPerfectionalis Had low phosphates as well. Taking a supliment for that. Decided to take Vitamin D to improve absorbtion as Chrones is in the family.

@STARLABORATORY 5 жыл бұрын

Nice work

@MedicosisPerfectionalis 5 жыл бұрын

Thanks 🙏

@eissadoctorito2782 3 жыл бұрын

Wonderful 👏

@turjoykabir 4 жыл бұрын

awsome,i like the way you teach.

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@lisasmith1467 2 жыл бұрын

Question: I’m a little confused about the ESR in multiple myeloma. Since there is both rouleaux and hyperviscosity due to proteins everywhere, which one predominates? It looks like you get a high ESR with rouleaux, but a low one with hyperviscosity syndrome. Thank you so much for your videos and your help!!

@Foxterrier 2 жыл бұрын

Hyperviscosity there was partially incorrect. Hyperviscosity can be due to increase in RBC's ( cause most abundant cell in the blood) / increase in proteins / increase in blast cells etc - it's a very broad term. The major player in ESR is proteins, due to the positive charges on their surface. In multiple myeloma - the more aggressive is the disease - the higher is the monoclonal IG production - the higher is the ESR. Simple as that.

@user-xf5ez3yd3l Жыл бұрын

Hi brilliant teacher❤ ESR is a measure of the length of plasma on top of the erythrocyte sediment layer at 1 hour. Not hematocrit at 1hr 3:20

@nadja4508 6 ай бұрын

Exactly! How come nobody noticed?? It‘s the very definition of sedimentation :D

@ratulmitra347 Жыл бұрын

My mom's esr is more than 100 ..... She is 63 years old... What are the causes for esr so high? What should be done to reduce it? Can u please tell me?

@vahithavahi1027 4 жыл бұрын

Really amazing ☺️

@MedicosisPerfectionalis 3 жыл бұрын

Vahitha vahi Thank you 😊

@ranahisham5850 2 жыл бұрын

I love this channel thankyouuuuu 🥰

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 🙏

@khairunnabihah4675 2 жыл бұрын

Hii medicosis, i would like to ask why increase ig G lead to increase ESR?

@misstaniamaryam 3 жыл бұрын

Entertaining, yet informative, you are awesome!

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@pari020 Жыл бұрын

As usual loved your hard work making studies easier 😊

@MedicosisPerfectionalis Жыл бұрын

Thank you so much 😀

@kurdishComedy99 2 ай бұрын

please one quesion , ESR test affected by dark & light place ?

@abbasabbass8126 6 ай бұрын

Mate you are brilliant , Respect !

@MedicosisPerfectionalis 6 ай бұрын

Thank you!

@4noory 3 жыл бұрын

love your humour!!!!!!

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@minigeorge3257 3 жыл бұрын

Why roelux formation doesnot take place invivo Anyone pls reply

@japneetkaur1782 Жыл бұрын

Your way of teaching is littttttttt

@MedicosisPerfectionalis Жыл бұрын

Thank you!

@emma0609 8 ай бұрын

this is the best video i've ever seen

@MedicosisPerfectionalis 8 ай бұрын

Thank you so much for your kind words! Can you please help me by sharing my videos with others?

@iorwueseseemberroseline621 4 жыл бұрын

Thank-you very much

@MedicosisPerfectionalis 4 жыл бұрын

My pleasure 😇

@mem6158 5 жыл бұрын

"its performed via automated analyzer.. you can leave the ruler at home" am dead hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh LMAO

@MedicosisPerfectionalis 5 жыл бұрын

Hehehehehehe 😂😂

@pratibhasingh3931 2 ай бұрын

What is the role of ESR in immunodeficiency?

@lyonnaise6395 Жыл бұрын

Wow how u explain 👍👍👍👍👏🏽👏🏽👏🏽👏🏽b/c my English is poor my second language and it’s hard to understand to know medical terminology but it’s wonderful ur explanation and really I understand very well. 👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽

@MedicosisPerfectionalis Жыл бұрын

Thank you so much! Would you please help me by sharing?

@mariya5605 4 жыл бұрын

Thank you so much

@MedicosisPerfectionalis 4 жыл бұрын

My pleasure 😇

@qiancheng1357 4 жыл бұрын

Thankssss!

@MedicosisPerfectionalis 4 жыл бұрын

My pleasure 😇

@pradeepghule9760 4 жыл бұрын

Very informative

@MedicosisPerfectionalis 3 жыл бұрын

Pradeep Ghule Thank you 😊

@geetajoshi1920 4 жыл бұрын

How many days ayrovadic madicine take

@manjushreeinamdar1242 4 жыл бұрын

You said plasma proteins and fibrinogen increases rbcs sticking to each other. But plasma proteins have negative charges right? So in inflmn if it increases Rbcs should repel each other shouldn't they?

@MedicosisPerfectionalis 4 жыл бұрын

The negative charges matter when they are on the RBC surface, not in the plasma.

@naluh_n 3 жыл бұрын

So glad I came across this😂

@shazid3576 4 жыл бұрын

esr in female is higher because females have less no of rbc.so there is a less negative charge which promote rbs roulex formation.

@anupdubey767 Жыл бұрын

The best lectures ever..❤❤😊😊

@MedicosisPerfectionalis Жыл бұрын

Thank you so much 😊 Would you please help me by sharing?

@n9newayix113 4 жыл бұрын

This guy a legend😂😂😂

@MedicosisPerfectionalis 4 жыл бұрын

Thank you 😊

@coraline-2000 3 жыл бұрын

WELL NOW IM INTRESTED

@jadumonigogoi403 2 жыл бұрын

I think by westergreen method count esr from up to down vs wintrobe method from down to upward as u shown.

@MedicosisPerfectionalis 2 жыл бұрын

You’re right!

@vincejohnson2519 3 жыл бұрын

My ESR is 4 what does that mean

@fatimahfadhil4077 3 жыл бұрын

you're a great ,, thank u

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@ayushighosh22 Жыл бұрын

My esr is 70 , I am extremely worried, is it related to any chronic illness?

@MedicosisPerfectionalis Жыл бұрын

It needs to be interpreted in light of history, physical exam, and other labs.

@everythingyouneed3992 4 жыл бұрын

If esr value is 60 in men what should he do for decrease the value... naturally or with medicine

@MedicosisPerfectionalis 4 жыл бұрын

It depends on the underlying cause.

@paweu7364 4 жыл бұрын

I've never clicked sub button that fast

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊 Welcome to the tribe!

@vineet2815 3 жыл бұрын

Me too bro, me too

@user-ek7cy2lx2t 3 жыл бұрын

11:39 Maybe because females have lower hematocrit (less repulsive forces caused by relatively less negative charges ) ?

@koalatales6553 3 жыл бұрын

I luv the way U teach...😘😘😘

@MedicosisPerfectionalis 3 жыл бұрын

Thanks 🙏

@yhani-mq2zs 4 жыл бұрын

Could you refer a text book that help me through the hematology course ?

@MedicosisPerfectionalis 4 жыл бұрын

Are you a medical student, nursing student, or lab scientist?

@mem6158 5 жыл бұрын

the inrto thu... man i laughed hhhhhhhhhhhhhhhhhhhhhhhhhh you are awesome MUCH LOVE thank you for all these great videos

@MedicosisPerfectionalis 5 жыл бұрын

Thank you, dear 😁

@MedicosisPerfectionalis 5 жыл бұрын

Make sure to read the description, because there’s a mistake in the video.

@shazjamz8027 2 жыл бұрын

"a garbage test" u got me der!! 😂😂.. Jokes apart u r an amazing teacher!! "

@MedicosisPerfectionalis 2 жыл бұрын

Thank you so much 😊

@divyasathish4814 3 жыл бұрын

Plz can you make Vedio for Media and culture

@evalinesasheenemelgar1380 4 жыл бұрын

Thumbs up to the maker of this vid. Shed some light about my condition called Behcet's syndrome.

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much! Oh! I am so sorry to hear that you’re going through this. How is your health now?

@evalinesasheenemelgar1380 4 жыл бұрын

@@MedicosisPerfectionalis thank you for asking. I'm under attack at the moment, and am taking my much needed rest. Mainly the reason how I got into your channel. The first time my doctor ordered for my ESR, it was at 88. Now I don't go to the doctor anymore for ESR as I now know how to listen to my body.😊

@yannychiou282 Жыл бұрын

i think is because women have a lower percentage of RBC and that women are more prone to anemia, also lots of women bleed during menstruation, moreover, only women gets pregnant therefore they will have dilutional anemia. IDA is also more common in women and is the most common anemia in the world rn.

@prabhumurugan244 4 жыл бұрын

Sir, with reference to the video at 4:27.. I have a small doubt. As time increases, there's gonna be an increase in the sedimentation.. So the length of the plasma decreases right? So if its 10 mm n half hr it should reduce... Nd not increase n 1hr isn't it? Sir..so how would the esr still remain the same? Could u please help me out?

@nonisaurus559 4 жыл бұрын

Hm.. It shouldn't reduce... By leaving it longer, it should have pile up..

@mariannamycroft2611 3 жыл бұрын

i love this

@krishvasa7644 2 жыл бұрын

I love this channel and i love you

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 🙏

@miztatone918 5 жыл бұрын

My ear is 70 and my crp is high also

@mahasundar6304 4 жыл бұрын

Why esr done in one hour and half an hour

@shushu3460 10 ай бұрын

great video! thank u so much, but please turn on subtitles at least auto subtitles

@michelleehrich3586 4 жыл бұрын

Any chance you could be persuaded to update this so it's correct? I love your videos and ask all my students to watch them, but I'm afraid this one will confuse them!

@MedicosisPerfectionalis 4 жыл бұрын

I have added a correction in the description, and also mentioned the correction in my video titled: “ESR and CRP”

@Brusseldudes7180 Жыл бұрын

Also could you try speaking just a tiny bit slower through some of the more tricky stuff. Thank you. Great video otherwise, I just can't comprehend as fast as you speak and end up rewinding a lot.