Our patient’s neutrophilia/thrombocytosis is attributed to his chest infection. You advise to get a repeat FBC in one month but he forgets and goes to Spain for some ‘winter sun’. On return he has a repeat FBC:
- Hb 145g/l (115-165)
- MCV 92fl (82-98)
- WCC 28.6×109/l (4-11)
- Neutrophils 22.1×109/l (1.7-7.5)
- Lymphocytes 1.8 (1.5-4.5)
- Monocytes 1.0 (0.2-1.0)
- Eosinophils 0.9 (0-0.5)
- Basophils 1.2 (0-0.1)
- Platelets 500×109/l (150-450)
A blood film is performed:
- What would you look for on examination?
- What further test would you do?
- What would you explain to the patient?
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