So we have our first update.
Our 20 year old lady who is now 32 weeks pregnant attended with a rash. This is her first pregnancy.
She has been increasingly tired over the last 6 weeks, but has put this down to her pregnancy.
She had not been taking folic acid, but has been taking some iron tablets for the last 2 weeks. She does not take any other regular medication and has nkda. She does not smoke and only very occasionally drinks alcohol.
We have repeated her bloods.
The lab have made the blood film (shown below)
What does this show?
What would you do next?