23 y/o female with acute onset of #Headache, high grade feve | Figure 1

23 y/o female with acute onset of #Headache, high grade fever, severe #Weight loss, #Fatigue and #Weakness from 2 month ago. Could you guess what is the dx?

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peripheral blood smear, can you guess that's going on? Hint: lots of #Basophils

This patient presented with progressively decreasing hemoglobin and hematocrit and increasing white count with no other symptoms. Less important than the diagnosis is what you see on this smear (apologize for the boxes, the auto detect facial features incorrectly blocked those areas).

Pt has Hx of CML. I'll post up the WBC count in a day..... It's one of the highest I have ever seen.

Highest #WBC count I have ever seen.

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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?