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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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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.
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Repeat CBC to confirm basophilia
Do stool analysis 4 parasites