35 y. o male presented with loss appetite and weight loss , on examination was pale , generalized body pain and splenomegaly , investigations result was low platelet count low wbc and Pancytopenia, what do you think about this case ?? Next step ?? DD ??
Next step is to take a detailed history; if he was taking any drugs or exposed to radiation that caused this. Then, do Bone Marrow Biopsy to find out the cause of this pancytopenia.