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25th July 2024
A 55-year-old male presents to A&E with a new onset of multiple red/purple pinpoint spots
A 55-year-old male presents to A&E with a new onset of multiple red/purple pinpoint spots on his arms. He has a background of small-cell lung cancer and had his last cycle of chemotherapy 8 days ago. He is otherwise feeling well in himself and has no other symptoms.
His observations are stable and he is apyrexial. Bloods show the following:
| Hb (130 – 180 g/L) | 95 g/L |
| WCC (3.6 – 11.0 x 10⁹/L) | 4.5 x10⁹/L |
| Neutrophils (1.8 – 7.5 x 10⁹/L) | 1.8 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 12 x10⁹/L |
| CRP (< 5mg/L) | 3 mg/L |
What is the most appropriate next step in the management for this patient?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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