1 / 32

Renal Disorders in Multiple Myeloma

Case Report. 61 yo BF with no significant PMH except for hyperlipidemia presents with cough/ sinus congestion to her primary MD. She is prescribed an antibiotic (Ketek), and develops nausea, diarrhea, and weakness in the next few days. She returns to her PCP, and is found to have a Cr level of 5.2

theodora
Download Presentation

Renal Disorders in Multiple Myeloma

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


    1. Renal Disorders in Multiple Myeloma Hematology Grand Rounds Tom Fong, MD September 9, 2005

    2. Case Report 61 yo BF with no significant PMH except for hyperlipidemia presents with cough/ sinus congestion to her primary MD. She is prescribed an antibiotic (Ketek), and develops nausea, diarrhea, and weakness in the next few days. She returns to her PCP, and is found to have a Cr level of 5.2 (normal 5 mo. earlier).

    3. Case Report PMH: Hyperlipidemia Meds: Estradiol, Ketek Allergies: PCN, cefepime, sulfa Family Hx: Non-contributory Social Hx: Tob 25 pk-yrs, no ETOH ROS: otherwise negative

    4. Case Report Physical exam: Vitals – T 37, HR 80, BP 140/70, 96% RA Gen – alert, NAD HEENT – anicteric, PERRL, O/P clear Lungs – CTA CV – regular Abd - soft, NT, ND, no HSM Extr – no edema

    5. Case Report Labs: WBC 6.8, Hgb 9.5, Plt 176 Na+ 138, K+ 5.0, Cl- 101, HCO3- 25, BUN 39, Cr 6.0, Glucose 87, Ca++ 11.3 LFTs: Protein 8.3, Albumin 5.0, Alk phos 139, Bili 0.4, AST 24, ALT 31 Urine eosinophils: negative

    6. Case Report Labs: SPEP: 0.3, 0.4 gm gamma restricted peaks Serum immunofix: IgG kappa, free kappa LC UPEP: 73.5% gamma restricted peak Urine immunofix: free kappa light chain 24 hour urine protein: 5.085 gms IgA <24, IgG 644, IgM 19 (all low)

    7. Case Report Bone marrow biopsy: 70% cellularity, increased atypical plasma cells comprising 60% of cellularity, c/w multiple myeloma

More Related