Case 50 part 4 – the beginning

You are the GP reviewing a patient. He has indigestion and looks pale. A FBC is done:

  • Hb 92g/L (115-160)
  • MCV 76fL (79-98)
  • WCC 15.6×10*9/L (4-11)
  • Neuts 12.6×10*9/L (2-7)
  • PLT 578×10*9/L (150-400)

Here is the blood film:



  • Describe three features in the film
  • What may you expect clinically?


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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.

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Online education and discussion about all things haematological
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