A 68-yeаr-оld mаle with а histоry оf acute myeloid leukemia is admitted to the ICU with complaints of shortness of breath and acute hypoxic respiratory failure requiring continuous BiPAP. His vital signs show a temperature of 101.6, a HR of 104, a RR of 29, A BP of 134/78 mmHg, and an O2 saturation of 86% on 2L NC for which he was changed to BiPAP. CXR shows evidence of diffuse alveolar infiltrates bilaterally. His CBC reveals a WBC count of 103000/mcL. Shortly after being admitted to the ICU on continuous BiPAP the pt develops altered mental status and has to be restrained for trying to remove his BiPAP mask. A diagnosis of leukostasis is empirically made. Which of the following would NOT be an appropriate therapy for this patient?
A 70-yeаr-оld mаle with а histоry оf COPD wad admitted to the hospital with community acquired pneumonia and started on ceftriaxone. After starting on antibiotics he developed dark urine, jaundice, and worsening of his dyspnea. His LDH comes back elevated and haptoglobin is decreased. A diagnosis of hemolytic anemia is suspected, and a blood smear is sent off. The peripheral blood smear will MOST likely reveal which of the following type of permutation of RBC?