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Review Question - QID 210547

QID 210547 (Type "210547" in App Search)
A 45-year-old homeless man is brought to the emergency department after he was found unconscious at the park. The patient's medical history is unknown; however, he was admitted to the emergency department 2 times over the past year for severe pain treated with hydromorphone and IV fluids. His temperature is 100°F (37.8°C), blood pressure is 97/48 mmHg, pulse is 140/min, respirations are 18/min, and oxygen saturation is 99% on room air. The patient smells of alcohol and is covered in emesis. Basic laboratory values are ordered as seen below.

Hemoglobin: 6 g/dL
Hematocrit: 20%
Leukocyte count: 6,500/mm^3 with normal differential
Platelet count: 197,000/mm^3
Reticulocyte count: 0.4%

Which of the following is associated with the most likely diagnosis?