RT Book, Section A1 Hillman, Robert S. A1 Ault, Kenneth A. A1 Leporrier, Michel A1 Rinder, Henry M. SR Print(0) ID 1127767007 T1 THE ACUTE MYELOID LEUKEMIAS T2 Hematology in Clinical Practice, 5e YR 2016 FD 2016 PB McGraw-Hill Medical PP New York, NY SN 9780071626996 LK accessbiomedicalscience.mhmedical.com/content.aspx?aid=1127767007 RD 2024/03/28 AB CASE HISTORY • Part 1A 28-year-old man, previously in excellent health, presents with a 2-week history of fatigue and worsening fever. He has been convinced by his family to seek medical attention because of noticeable pallor and the recent onset of a petechial rash on his extremities. His physical examination is remarkable for pallor, the petechial rash, pharyngitis, and gingivitis. He does not have lymphadenopathy or hepatosplenomegaly, and the remainder of the examination is unremarkable.CBC: Hematocrit 19% WBC 32,000/μLDifferential: Neutrophils - 0% Monocytes - 2%Lymphocytes - 13% Cells identified by an automated counter as immature - 85%Platelets: 14,000/μLSMEAR MORPHOLOGYMature neutrophils are not seen. Platelets are markedly decreased, but red cell morphology is normal. The immature cells are large, with an open nuclear chromatin pattern, prominent nucleoli, and few granules. In rare cells, one or more red staining, rod-shaped objects can be found (Auer rods).QuestionsWhat further history, examination, and laboratory evaluation is indicated?What should be the pace of this workup?