You are in a GP surgery as the GP registrar. A 24 year old female complains of feeling tired. She is eleven weeks pregnant and was due her ‘booking visit’ by the midwife in a one week’s time. She has been taking folic acid as advised. She looks pale and so you request a full blood count. It shows:
- Hb 87g/L
- MCV 72fL
- PLT 126×10*9/L
- WCC 9.6×10*9/L (normal white cell differential)
- Physiologically what happens to the blood count commonly during pregnancy?
- What do you think of her Hb and MCV?
- Does the platelet count worry you?
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