Case 66

Hematopathology Case

 

CLINICAL INFORMATION

 

50-year-old African American male.

Past medical history: alcoholic cardiomyopathy, EF15-20%, CHF class II, ESRD

History of present illness: leg cramps and weakness for 2 wks, nausea and vomiting, clear cough and chills, no fever

Physical examination: diffuse abdominal tenderness, hepatomegaly, no lymphadenopathy.

Serum chemistry: sodium 130, potassium 5.5, chloride 95, bicarbonate 23, BUN 67, creatinine 11.3, calcium: 15.3

 

 

     
 

 

Serum protein electrophoresis

Urine protein electrophoresis

 

 

Serum protein electrophoresis and immunofixation

Urine protein electrophoresis and immunofixation

 

 
 

CT

 

 

 

X-ray

X-ray

     
 

Click here for diagnosis and case discussion.

 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan