Case 41 – the beginning

Welcome back to #TeamHaem.

You are a GP reviewing a patient’s full blood count. The reason for request was ‘routine health check’. The patient is a 45 year old male and you can see he has a past medical history of epilepsy and hypertension.

  • WCC 12.6×109/L (4-11)
  • Neuts 6.2×109/L (1.7-7)
  • Lymphocytes 3.9×109/L (1.5-4.5)
  • Monocytes 0.8×109/L (0.2-1)
  • Eosinophils 1.5×109/L (0-0.5)
  • Basophils 0.2×109/L (0-0.1)
  • Hb 140g/L (130-180)
  • MCV 88fL (82-98)
  • Platelets 401×109/L (150-450)

Questions:

  • What is the next step?
  • What do you ask the patient?

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Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

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This entry was posted in Laboratory morphology, Myeloproliferative neoplasm, Related to other specialities and tagged , , . Bookmark the permalink.

3 Responses to Case 41 – the beginning

  1. Since the patient had no symptoms I wouldn’t do anything. But I would try and workout why he had a blood count done as ‘routine health check’. It might be that he had symps that I didn’t know about. At this time of the year I might put this down to hayfever so would want to know if he had recent allergies.

  2. Pingback: Case 41 – update 1 | TeamHaem

  3. Abdelhalim yousef says:

    Repeat CBC to confirm basophilia
    Do stool analysis 4 parasites

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