You are the haematology SpR reviewing routine blood films in the lab at 4pm when you come across the following FBC differential and film from a GP request. The patient is a 31 year old female. Clinical details state ‘for bloods.’
- Hb 115 g/l
- MCV 90 fl
- Plt 152 x 109/L
- WCC 19.3 x 109/L
- Neuts 10.4 x 109/L
- Lymph 1.4 x 109/L
- Monocytes 4.2 x 109/L
- Eosinophils 1.1 x 109/L
- Basophils 2.2x 109/L
Blood film as shown below:
What does the FBC and blood film demonstrate? What are the next actions you would take?
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