1. A Case of Anasarca for Evaluation PROF P.VIJAYARHAGAVAN’ S UNIT C. R. RAJ KUMAR
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14. TOTAL COUNT 8500cells/cumm DC POLYMORPHS 68% LYMPHOCYTES 36% EOSINOPHILS 6% PCV 34.7 MCV 90.8fl MCH 29.3pg MCHC 32.3g HB 11.2gm ESR 38mm/ hr PROTHROMBIN TIME TEST -14 APTT 26 PLATELETS 79000 RBC 3.8 million
15. RFT SUGAR 90mg UREA 18mg CREATININE 0.7mg LFT TOTAL BILIRUBIN 0.42mg DIRECT 0.28mg AST 33u ALT 17 ALK PHOSPATASE 159 GGT 23 TOTAL PROTEIN 4mg ALBUMIN 1.2mg GLOBULINS 2.8mg
16. ELECTROLYTES SODIUM 131.3meq POTTOSIUM 4.33meq CHLORIDE 94.3meq SEROLOGY HIV NEGATIVE ANTIHCV NEGATIVE HbsAg POSITIVE URINE SUGAR NIL ALBUMIN + DEPOSITS 4-6 pus cells, no RBC,no casts
40. *see below Disease M-protein type Associated clinical features Monoclonal Gammopathy of Uncertain Significance (MGUS) Any in small quantity None Multiple Myeloma IgG, IgA, light chain only, IgD CRAB* Lymphoplasmacytoid-Cell Lymphoma (Waldenström's Macroglobulinemia) IgM OVA* amyloidosis Any of the above Protein deposition in multiple organ systems