You are at a GP surgery and you see a 59 year old gentleman. He has a past history of colorectal cancer than was operated on two years ago and he never needed chemotherapy. He has hypertension and benign prostatic hypertrophy. He had a chest infection a few weeks ago and hasn’t been able to get back to his normal self. You agree to do some blood tests:
- Hb 150g/l (130-180)
- MCV 90fl (82-98)
- WCC 17.1×109/l (4-11)
- Neutrophils 14.5×109/l (1.7-7.5)
- Platelets 470×109/l (150-450)
- How do you explain this abnormality to him?
- Would you investigate this further?
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