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?
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