November exam
2) A 55 year old male, shepherd by occupation, presented to the OPD with the chief complaints of fever (on and off), loss of appetite, headache, body pains, generalized weakness since 2 months, cough since 2 weeks and vomitings and pain abdomen since 2 days . https://aakansharaj.blogspot. com/2020/11/55-year-old-male- with-anemia.html?m=1 A) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes. ANATOMICAL LOCATIONS WITH ETIOLOGY: 1) Bone marrow - due to marrow infiltration anemia,leucopenia,thrombocytopenia 2)lytic bone lesions pepper pot skull 3)renal failure - Excess monoclonal immunoglobulin can cause hyperviscosity, platelet dysfunction and renal tubular damage, leading respectively to neurologic derangement, bleeding, and renal failure. excess production of monoclonal light cha