Review Question - QID 206575

A 27-year-old female presents to the emergency department with complaints of acute-onset fatigue, blurred vision, and rash earlier today. Her husband rushed her to emergency department when he noted that she was exhibiting changes in her mental status and had trouble speaking. Her vital signs are as follows: T 38.4, HR 87, BP 110/85, RR 14, and SpO2 96%. Physical examination reveals petechiae, pallor, and left upper extremity weakness. Work-up reveals Hgb 8.5 g/dL, platelets 22,000 cells/uL, normal PT/INR and PTT, absent fibrin split products, elevated fibrinogen, a negative Coombs test, 3.7 mg/dL creatinine, 3.8 mg/dL indirect bilirubin, and LDH 1000 IU/L. Which of the following would be expected on a peripheral blood smear from this patient?