system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 35-year-old woman presents with an inability to move her right arm or leg. She states that symptoms onset acutely 2 hours ago. Past medical history is significant for long-standing type 1 diabetes mellitus, well-managed with insulin. The patient reports a 15-pack-year smoking history. Family history is significant for breast cancer in her mother at age 66 and her father dying of a myocardial infarction at age 57. Review of systems is significant for excessive fatigue for the past week, and her last menstrual period that was heavier than normal. Her vitals signs include: temperature 38.8°C (101.8°F), blood pressure 105/75 mm Hg, pulse 98/min, respirations 15/min, and oxygen saturation 99% on room air. On physical examination, the patient appears pale and tired. The cardiac exam is normal. Lungs are clear to auscultation. The abdominal exam is significant for splenomegaly. There is a non-palpable purpura present on the lower extremities bilaterally. Conjunctiva and skin are pale. Laboratory results are pending. A peripheral blood smear is shown in the exhibit. Which of the following laboratory findings would least likely be seen in this patient?
assistant
Elevated creatinine