Case 100 (part C) – the beginning

You are in a GP surgery and are asked to perform a full blood count on a 60 year old male who is awaiting a knee replacement for osteoarthritis. He has a past history of glaucoma, hypertension and a myocardial infarction a few years ago.

  • Hb 147g/l (115-165)
  • MCV 95fl (82-98)
  • WCC 10.4×109/l (4-11)
  • Neutrophils 3.7×109/l (1.7-7.5)
  • Lymphocytes 5.8×109/l  (1.5-4.5)
  • Monocytes 0.6 ×109/l  (0.2-1.0)
  • Eosinophils 0.2 ×109/l  (0-0.5)
  • Basophils 0.1 ×109/l  (0-0.1)
  • Platelets 252×109/l (150-450)

 

Questions

  • How would you approach this problem?
  • What further information would you like to know or would you ask the patient?
  • What do you tell the patient?

Please reply to us (@TeamHaem) on Twitter and ALWAYS include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #TeamHaem on Twitter for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

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