I am a high school student doing a study case for a summer internship program at a prestigious level 1 trauma institute. I am having trouble with my case: 51 y/o female is doored by a car. Reports pain in left knee, x-rays show avulsion fracture about the fibular tuberosity. Has a history of smoking and drinking often. Grandmother (mom side) died of ovarian cancer, father has glaucoma. Reports Temp: 101, 24 bmp, has 129/82 bp. O2 levels and heart rate are normal. One month post-injury, She also has lost 20 pounds and reports swelling in the armpits.

I have had many ideas to what are the possible diagnostics to this patient requiring me to receive a DEXA scan, and a CBC. only abnormal notices are high hemoglobin and hypocrite. Is it possible to conclude this patient to have Leukemia?