ØHistory:
Ø37
year old male.
ØLifelong
history of a seizure disorder, treated since age two.
ØAt
a routine check with his neurologist, he complained of fatigue, exertional dyspnea, and lightheadedness over the past 2-3
months.
ØHe
appeared pale, but otherwise his physical exam was within normal limits. He was
found to have a
decreased hemoglobin, and was referred to Hematology Clinic