Case 127 – The beginning

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.’

FBC:

  • 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:

CML

What does the FBC and blood film demonstrate? What are the next actions you would take?

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