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Q. |
A 64-year-old man is evaluated because of fatigue and shortness of breath on exertion. He has had three episodes of urinary tract infection in the past 7 months. On physical examination, he has pallor but is otherwise normal. He denies blood loss, and his stool is negative for occult blood on three measurements. He is anemic (hemoglobin 8.4 g/dL) with normochromic, normocytic indices, and his serum creatinine level is 2.9 mg/dL. The total serum protein level is elevated, and the serum albumin level is low normal. His serum calcium level is 11.8 mg/dL.What is the most likely cause of his symptoms? |
A. | Multiple myeloma |
B. | Chronic pyelonephritis |
C. | Iron deficiency anemia |
D. | Colon cancer |
E. | Small-cell lung cancer |
Answer» A. Multiple myeloma |
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