A 52-year-old woman with abdominal fullness and mild fatigue…
A 52-year-old woman with abdominal fullness and mild fatigue presents to her primary care physician accompanied by her husband. The patient’s personal history is unremarkable. She has a brother with high blood pressure and cholesterol. The patient’s spleen is palpable. Patient Results Reference Interval WBC 299.1 4.5-11.0 x 10^9/L RBC 2.9 4.3-5. x 10^12/L HGB 8.8 g/dL HCT 25.2 39-55% MCV 87.0 80-11 fL MCH 30.3 25.4-34.6 pg MCHC 34.9 31-37 g/dL RDW 15.2 11.5-14.5 % PLT 603 150-400 x 10^9/L The patient’s differential showed: 30% neutrophils 2% lymphocytes 1% monocytes 7% eosinophils 10% basophils 14% metamyelocytes 32% myelocytes 4% blasts What is the differential diagnosis?