Case 66

Hematopathology Case




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










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

Photo: Zenggang Pan

Discussion: Zenggang Pan