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 55-year-old man comes to the physician for a routine health visit. He feels well except for occasional left-sided abdominal discomfort and left shoulder pain. He has smoked 1 pack of cigarettes daily for 20 years. He does not drink alcohol. His pulse is 85/min and his blood pressure is 130/70 mmHg. Examination shows a soft, nontender abdomen. The spleen is palpated 5 cm below the costal margin. There is no lymphadenopathy present. The remainder of the examination shows no abnormalities. Laboratory studies show:
Hemoglobin 12.2 g/dL
Hematocrit 36 %
Leukocyte count 34,000/mm3
Platelet count 450,000/mm3
Cytogenetic testing of his blood cells is pending. Further evaluation of this patient is most likely to show which of the following findings?"
assistant
Low leukocyte alkaline phosphatase score