158) A 55 year old man comes to the Emergency Room complaining of left upper quadrant discomfort. His physical examination reveals Splenomegaly. Laboratory investigations were sent but there was a significant delay in sending the specimen to the laboratory after collection. Laboratory investigations reveal a WBC count of 110,000/µl with neutrophilia, basophilia and eosinophilia and Serum potassium of 3.0/µl. Leucocyte Alkaline Phosphatase level is low. A bone marrow biopsy is obtained and the results are pending. The most likely explanation of the patients hypokalemia :
A) Delay in specimen transport to lab
B) Marked Leucocytosis and Delay in specimen transport
C) Tumor Lysis
D) Splenomegaly
E) Renal loss
b?
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