A 34 year old female presents to A&E with a 2 day history of palpitations.
Full blood count shows:
Hb 84 g/l (135-180)
MCV 91 fl (78-100)
MCH 29 pg (27-32)
Plts 649 x10*9 (150-400)
WCC 88 x10*9 (4-11)
Differential : neutrophils 25%, lymphocytes 18%, eosinophils 3%, basophils 21%, monocytes 3%, metamyelocytes 6%, myelocytes 10%, promyelocytes 3%, blasts 11%
What is your approach to history and examination?
What further investigations would you suggest?
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