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History:
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• 37
year old male.
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• Lifelong history of a
seizure disorder, treated
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since age two.
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• At a routine check
with his neurologist, he
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complained of fatigue, exertional dyspnea, and
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lightheadedness over the past 2-3 months.
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• He appeared pale, but
otherwise his physical
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exam was within normal limits. He was found to
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have a decreased hemoglobin, and was referred
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to Hematology Clinic
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