Question

A 45-year-old man presents with fatigue, weight loss, recurrent infections and bruising. Full blood count shows pancytopenia and blood film suggests blasts. What is the most appropriate next step?

Accepted Answer

Refer urgently to haematology for same-day assessment

Answer

Start oral iron and review in 3 months

Answer

Start oral steroids in primary care

Answer

Reassure; likely viral infection

Answer

Treat with antibiotics only

Practice question

A 45-year-old man presents with fatigue, weight loss, recurrent infections and bruising. Full blood count shows pancytopenia and blood film suggests blasts. What is the most appropriate next step?