text:  Included a white blood count of 140 000   7 polys   1 bands   3 lymphs   1 monos   2 basos   4 blasts   76 pearl monocytes   6 meta &aposs   3 nucleated red blood cells . There were some oval tear drop cells and target cells with a few schistocytes . The platelet count was 9 000   hematocrit was 26.5   with an mean corpuscular volume of about 73 . His prothrombin time and partial thromboplastin time were normal . His uric acid was up at 97   his total bilirubin was up at 1.8   his LDH was 428   his phosphorus was 1.2   calcium 8.6   Digoxin level was 1.0   potassium on admission was 2.9   sodium 135   BUN and creatinine 13  1.6   and sugar of 267 . A computerized tomography scan of his head showed no signs of an acute bleed   a chest X-ray showed no new infiltrates or masses . There was cardiomegaly with prominent vascularity   but no effusions . An electrocardiogram was consistent with atrial fibrillation .