Case 43 – the beginning

After a lovely summer break we are back – and we’re ready to talk blood! This case is relevant to all those working in general medicine, general practice and specialty medicine. As ever we hope to provoke debate and discussion and welcome all comments and suggestions be they confident, best-guesses or stabs in the dark. Ok, let’s go…

Mr H is 38 and presented to his GP with progressive fatigue over the preceding 3 months. He described this as being a 3-times a week footballer to struggling to make it through one half of a match. His GP took some bloods and they showed the following:

Hb:  94 g/l

plts:   289 x10*9

MCV: 101 fl

WCC: 8 x10*9

What are your first thoughts? Is this a serious issue or a triviality?

What else do you need to know?

Please join us on Twitter @TeamHaem and let us know what your thoughts are, what questions you have and what you want to do as we see this case evolve over the next week. Remember to use #teamhaem on all your posts to help everyone follow the case.

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

TeamHaem are not a position of authority. It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
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