Case 118 – the beginning

You’re the oncall haematology registrar and a worried paediatrician rings you about a new patient.

Baby A is female infant of 3 months of age.  She has just been brought to accident and emergency by her mother who is concerned that she is sleepy and is feeding less and less.

The paediatrician noted that Baby A looked pale and some bloods were taken.  The full blood count has just been phoned through to the paediatric team by the haematology laboratory and she would like some advice.

Hb 66 g/dL

MCV 93.4

PLT 479

WBC 11

Neut 2.89
What would you do next?

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