You are asked to evaluate a 62-year-old patient who presents…

Questions

Yоu аre аsked tо evаluate a 62-year-оld patient who presents complaining of fatigue and a “skin infection” and states that he has also noticed increased bruising recently.  On examination, you note that the patient has significant periorbital cellulitis.  There are also multiple areas of ecchymoses in various stages of resolution, as well as petechiae noted over the trunk and extremities.  There is no lymphadenopathy, hepatomegaly, or splenomegaly noted.  A stat CBC with differential is ordered and the results are as followsWBC: 80,000 (↑)Hgb:   9.0 (↓)HCT:  27% (↓)MCV: 90Plt: 60,000 (↓)Differential: 20% segs, 2% bands, 36% lymphs, 4% monos, 3% eosinophils, 1% basophils,34% blastsPeripheral blood smear: Blast cells with Auer rods noted Based on this information, which of the following conditions is the most likely diagnosis for this patient?      

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