Leukaemia – Initial investigations

1.Question

A young female presents complaining of lethargy, malaise, oro-mucosal tingling and weight loss which have gradually worsened over 6 months. Her FBC is shown below.

Haemoglobin (g/L) 50 (115-165)
Mean Cell Volume (fl)

120 (80-100)

Platelets (109/L)

60 (150-400)

White cell count (109/L)

2 (4-11)

Neutrophil count (109/L)

1.2 (2-7.5)