You repeat the FBC and it shows similar results

• Hb 141g/l (130-180)
• MCV 89fl (82-98)
• WCC 7.5×10⁹/l (4-11)
• Neutrophils 4.7×10⁹/l (1.7-7.5)
• Lymphocytes 2.1×10⁹/l  (1.5-4.5)
• Platelets 70×10⁹/l (150-450)
• Coagulation screen – normal
• U&E/LFT – normal

Blood film:

Questions

• What is the problem here?
• How is it managed?

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