Case 68 – the beginning

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? 

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