A 32-year-old woman comes to the emergency department because of a 4-hour history of fever and chills. Three hours ago she took aspirin for fever. Vitals are: temperature 103F, HR 90, RR 17, BP 110/65. Hematologic studies show: Hb 12.5 g/dL, Hct 38%, WBC 18,000/μL. Her blood smear is shown below. What’s the most likely diagnosis?
Acute lymphoblastic leukemia (ALL)
Acute myelogenous leukemia (AML)
Chronic lymphocytic leukemia (CLL)
Leukemoid reaction
Vitamin B12 depletion
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Cut-to-the-chase Answer (0:54):
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HY USMLE Answer (5:47):