History

82 year old female.

Brought to Emergency Room with symptoms of severe frontal headache and associated confusion. Noted to have decreased energy level and a 15 pound weight loss over the previous three months.

The patient was initially evaluated for a possible CVA. Neurologic exam and CT scans were negative, but she was found to be pancytopenic.

Physical Exam

Pale appearing, but otherwise within normal limits. No organomegaly.

CBC & Diff