Review Question - QID 100087

A 55-year-old African American lawyer presents to your office with complaints of fatigue, back pain and dark urine that he notices in the morning when he wakes up. The patient is well known to you. He frequently travels to Bangkok where he has admitted to having unprotected sex. You have treated him in the past for chlamydia, gonorrhea and syphilis. This patient has a family history of sickle cell disease in 4 of his brothers. He has a past medical history of HIV and his most recent CD4 count was 147 cells/µL. His current medications include lisinopril, glyburide, metformin, ibuprofen, and buspirone. Appropriate prophylactic measures were taken one week ago account for his low CD4 count and his traveling. The patient's CBC demonstrates:
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