Case 100 (part D) – the beginning

You are a GP evaluating a 12 year old boy with persistent nose bleeds. He otherwise feels well with no past medical history. He is on no medications. FBC shows:

  • Hb 140g/l (130-180)
  • MCV 90fl (82-98)
  • WCC 8.5×109/l (4-11)
  • Neutrophils 5.7×109/l (1.7-7.5)
  • Lymphocytes 2.3×109/l  (1.5-4.5)
  • Platelets 74×109/l (150-450)


  • How do you investigate this further?


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