Case 66 – the beginning

You are a GP and are reviewing blood tests that were taken during a booking appointment for a 29 year old who is 10 weeks into her first pregnancy. They show:

  • Hb 100g/L (105-165)
  • MCV 76fL (82-98fL)
  • WCC 10×10*9/L (4-11)
  • Neutrophils 7.5×10*9/L (1.5-7.5)
  • Platelets 570×10*9/L (150-450)



  • What physiologically happens to the FBC during prenancy?
  • What is unusual here?
  • Are there any questions you’d like to ask the patient?


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