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NB Abnormalities affecting more than one cell type are ...
Malignancy (eg. Lymphoma, Leukaemia, CA lung/stomach) Löffler’s syndrome, Endocarditis, Post-splenectomy, Irradiation Refer to haematologist Eosinophils >1.5 persisting >3mths or rising without obvious cause Consider: ESR,CRP, IgE, ANA, Chest X-Ray Stool for OCP Serology for Strongyloides + relevant to travel history (eg Schistosomiasis)
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Abnormal FBC Results Guidance - North Central London GP ...
gps.northcentrallondonccg.nhs.ukresponse to frequently asked questions on interpreting FBCs. This guidance is to assist GPs in decision making and is not intended to replace clinical judgment. You may also want to seek further specific guidance using the ‘Advice and Guidance’ service. Haemoglobin White Cell Count Platelets Anaemia Polycythaemia Neutrophils Lymphocytes ...
Abnormal TFT Results Guidance Abnormal Thyroid Function ...
gps.northcentrallondonccg.nhs.ukcirculating thyroid hormone levels Abnormal TSH can persist for several months after achieving clinical euthryoid Following thyroxine replacement wait 6-8wks before measuring TSH After treating hyperthyroid wait 3mths If on thyroxine treatment, TSH, T4 can also be: Over replacement in 1° hypothyroidism Expected in 2° hypothyroidism
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