Lifelong history of seizure disorder

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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. CBC: RBC - 1.26 x 1012/L; HGB - 5.7 g/dL; HCT - 16.3 %; MCV - 130.0 fL, MCH - 45.2 pg; MCHC - 34.9 g/dL; RDW - 18.1 %; WBC - 6.2 x 109/L (WBC differential: N - 73, L - 21, M - 1, E - 4, B - 1); PLT - 219 x 109/L What alterations are seen in this blood smear field? RBC morphology:

Reference no: EM133446035

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