DZI20-239-Case-4
58 yo woman presenting to the ED frail, with pain, nausea and fatigue. She is noted to have an abnormal CBC and smear.
WBC:3.6 (L); HGB: 8.6 (L); HCT: 26.9 (L); MCV: 89.7; PLT: 27 (L)
Diff: Neut: 40; Lymph 32; Monos 5; Eos 1; Bands 4; Atypical lymphs 2; Metas: 2; Myelos 3; Promyelos 1; Other WBCs: 10.IgA multiple myeloma with Rouleaux formation and circulating plasma cells.
December 2, 2020
/ Case 4
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Clinical history
58 yo woman presenting to the ED frail, with pain, nausea and fatigue. She is noted to have an abnormal CBC and smear. WBC:3.6 (L); HGB: 8.6 (L); HCT: 26.9 (L); MCV: 89.7; PLT: 27 (L) Diff: Neut: 40; Lymph 32; Monos 5; Eos 1; Bands 4; Atypical lymphs 2; Metas: 2; Myelos 3; Promyelos 1; Other WBCs: 10.
Diagnosis
IgA multiple myeloma with Rouleaux formation and circulating plasma cells.
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