Lab case 227

21 year old girl presented with sudden left sided weakness. Her CT head showed intracerebral haemorrhage. Her full blood picture showed the following:

Hb = 76 g/L
Mean Cell Volume = 84 fL
Mean Cell Haemoglobin =28.7 pg
Platelet Count = 31 x109/L
White Cell Count = 1.5 x10
9/L
Neutrophil Absolute = 0.9 x109/L
Lymphocyte Absolute = 0.6X10
9/L
Monocytes = 0
Eosinophil Absolute = 0
Basophiles = 0

Questions:
1- Explain the blood findings and what are the potential cause for these findings?
2- How will you manage this case in the emergency department?