| Case 4 | |
| History: | |
| 37 year old male. | |
| Lifelong history of a seizure disorder, treated since age two. | |
| At a routine check with his neurologist, he complained of fatigue, exertional dyspnea, and lightheadedness over the past 2-3 months. | |
| He 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 |
| RBC 1.26 x 10[12]/L | |
| HGB 5.7 g/dL | |
| HCT 16.3 % | |
| MCV 130 fL | |
| MCH 45.2 pg | |
| MCHC 34.9 g/dL | |
| RDW 18.1 | |
| WBC 6.2 x 10[9]/L ) N 73 % , L 21, M 1, E 4 , B 1) | |
| PLT 219 x 10[9]/L |
| Questions |
What morphologic alterations are seen in this blood smear field?