| Provisional Diagnosis | - | ? Multiple Myeloma ?Bone Mets |
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| Final Diagnosis | - | Multiple Myeloma IgG |
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| History and Findings | - |
T2DM/SHTN/DLP/Presented with LBA of 6months to GVR saturday clinic on 23/4/11.Review with investigation on 30/3/11 Paraproteinemia/Abnormal band in gamma region on EP/very high ESR/A/g reversl/hyperuricemia/Hypercalcemia/anemia & proteinuria P.Smear on 2/5/11-Rouleaux + BM study-Aspiration 40% plasma cells Biopsy-cellular marrow with sheets of plasma cells s/o M Myeloma IgG-6827.7,IgA-37.29,IgM-29.28,Beta 2 microglobulin-8.99 Kappa 70.8,Lambda-5.9(ratio-13.88) Case of IgG myeloma referred to oncology on 2/5/11 |
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| Investigation | - | ||
| Treatment | - | ||
| Follow Up | - | ||
R C Mohammedali, 70, 2-5-2011
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