25th July 2024

A 70-year-old gentleman with no past medical history requests a routine wellness screen from his GP

A 70-year-old gentleman with no past medical history requests a routine wellness screen from his GP. He feels he should have one given his age, but he has no symptoms and feels well in himself and examination is normal. He has not had any recent blood tests. His full blood count is reported as:

Hb 141 g/L (130-180)

WCC 47.3 x 10⁹/L (4.0-11.0)

Neutrophils 4.4 x 10⁹/L (2.0-7.5)

Lymphocytes 42.1 x 10⁹/L (1.5-4.5)

Eosinophils 0.1 x 10⁹/L (0.04-0.4)

Basophils 0.0 x 10⁹/L (0.0-0.1)

Monocytes 0.7 x 10⁹/L (0.2-0.8)

Platelets 192 x 10⁹/L (150-400)

Given the likely diagnosis, what is the most likely management plan going to be?

Select the SINGLE most appropriate option from the list below. Select ONE option only.