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  1. #1
    Montgomery is offline Newbie 510 points
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    most likely diagnosis?

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    60-year-old female presented to the ER complaining of back pain, weakness and decreased appetite for one week.

    Past medical history (PMH)


    Diverticulitis.


    Medications

    No outpatient medications.

    Physical examination


    VSS.
    Limited movement in the lumbar spine.
    No focal neurological changes.

    Laboratory results


    Hemoglobin 7.7 mg/dL
    Hematocrit 23
    Platelets of 106/mm3
    BUN of 35 mg/dL
    Creatinine of 2.7 mg/dL
    Ca of 16.6, the repeated Ca is still 16.2.
    wbc 6.09

    What is the most likely diagnosis?

  2. #2
    sirloinMD's Avatar
    sirloinMD is offline Member 517 points
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    multiple myeloma

  3. #3
    Montgomery is offline Newbie 510 points
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    Quote Originally Posted by sirloinMD View Post
    multiple myeloma
    right!

    inv for MM?

  4. #4
    whiteOwl is offline Newbie 510 points
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    Bence jones proteinuria
    M band on electrophoresis

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