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A 35-year-old woman is in the intensive care unit with sepsis after a cesarean section. Manual differential counts: WBC: 4.3 RBC: 3.20 Band neutrophils:

 

A 35-year-old woman is in the intensive care unit with sepsis after a cesarean section. Manual differential counts: WBC: 4.3 RBC: 3.20 Band neutrophils: 25 Segmented neutrophils: 45 Lymphocytes: 10 Monocytes: Eosinophils: Basophils: Metamyelocytes: 15 Myelocytes: 5 Promyelocyte: Marked toxic granulation: WBCS: Hgb: 10.0 Hct; 29.8 MCV: 93.2 MCH: 31.5 C: 34.5 RDW: 17.9 PLT: 10.0 NRBCS: 9/100 1 Describe the peripheral blood findings. Interpret the coagulation screening tests. PT: 42.4 sec APTT: 78.3 sec 3 What additional tests would you perform? 4 Based on all the data provided, what condition is most likely?

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