Question

A 35-year-old man presents with 3 months of fatigue and bruising. FBC shows Hb 82 g/L, platelets 30 x10^9/L, WBC 2.5 x10^9/L. Blood film shows pancytopenia with blasts. What is the most appropriate next step?

Accepted Answer

Urgent same-day haematology referral for suspected acute leukaemia

Answer

Start oral iron therapy

Answer

Repeat blood tests in 3 months

Answer

Start prednisolone for presumed ITP

Answer

Reassure and safety-net

Practice question

A 35-year-old man presents with 3 months of fatigue and bruising. FBC shows Hb 82 g/L, platelets 30 x10^9/L, WBC 2.5 x10^9/L. Blood film shows pancytopenia with blasts. What is the most appropriate next step?