A 36 year old lady presents to her GP feeling tired and with reduced exercise tolerance. The GP performs blood tests to investigate.
Hb 67g/l, MCV 100 (normal 77-95), Wcc 4.2, Neu 3, Plt 160.
Blood film:
What do the blood tests suggest?
What does the blood film show?
What further investigations would you like?
What other History and examination would you perform?