Recent Question

(M1.RL.81) A 67-year-old man presents to your office with a chief complaint of constipation and many other perturbing minor medical concerns. He reports tiring easily, which he attributes to old age and years of persistent pain in his back and ribs. A complete blood count shows low hemoglobin and elevated serum creatinine. A peripheral blood smear shows stacks of red blood cells among other findings, and serum electropheresis reveals an abnormal concentration of protein resulting in a spike. Which of the following additional findings would you expect to see in this patient? Topic Review Topic

1. Early satiety and splenomegaly
2. Smudge cells on peripheral smear
3. An elevated PSA and a nodular prostate
4. Bence-Jones proteins in the urine
5. No additional findings - normal aging explains symptoms

Recent Cases

HPI - Hypotension, raised CVP
poll What is the pathophysiologic mechanism of this patient condition?
Posted 1 week ago - 105 responses
HPI - Patient reported 8/10 pain with ambulation for the past week, located in bilateral LE, and a sharp and constant pain in the low back. Pain starte...
poll Which is most true about the gene responsible for the bone lesions seen in...
Posted 4/14/2015 - 3600 responses

Recent Videos

video
Mitral valve disease
Posted 1 week ago - 0 responses - 14 views
video
Good overview
Posted 1 week ago - 0 responses - 7 views

Topic Updates

topic Albinism on 05/28/16
topic Burns on 05/28/16
topic Aplastic Anemia on 05/27/16
topic Cystic Fibrosis on 05/27/16
topic Cardiac Tamponade on 05/27/16
topic Heart Murmurs on 05/27/16
topic Heart Murmurs on 05/26/16
topic Thalamus on 05/26/16
topic Wound Management on 05/25/16
topic Bipolar Disorder on 05/25/16
topic Glucose Transport on 05/25/16
topic Bipolar Disorder on 05/25/16
topic Bipolar Disorder on 05/25/16
topic Bipolar Disorder on 05/24/16
topic Bipolar Disorder on 05/24/16
topic Nephritic Syndrome on 05/24/16
topic Thrombophlebitis on 05/24/16
topic Thrombophlebitis on 05/24/16
topic Prostatitis on 05/24/16
topic Pyelonephritis on 05/24/16
topic Glycogen on 05/23/16
topic Burns on 05/23/16
topic Wound Management on 05/23/16
topic Anemia Overview on 05/23/16
topic Pulmonary Embolism on 05/23/16
topic Albinism on 05/23/16
topic Unhappy Triad on 05/23/16
topic Scabies on 05/22/16
topic Thrombophlebitis on 05/22/16
topic Supraspinatus on 05/21/16
topic Antimetabolites on 05/21/16
topic Aphasia on 05/21/16
topic Asthma on 05/21/16
topic Asthma on 05/21/16
topic Islet Cell Tumors on 05/21/16
topic Oncogenes on 05/20/16
topic Splitting on 05/20/16
topic Vitiligo on 05/20/16
topic Lung Cancer on 05/19/16
topic Nontoxic Goiter on 05/18/16
topic Ketone Bodies on 05/18/16
topic Sympathomimetics on 05/18/16
topic Aphasia on 05/18/16
topic Temporal Arteritis on 05/18/16
topic Kidney Embryology on 05/18/16
topic Melanoma on 05/17/16
topic Lung Cancer on 05/17/16
topic Nontoxic Goiter on 05/17/16
topic Lingual Thyroid on 05/17/16
topic Melanoma on 05/16/16
topic Rotator Cuff Tears on 05/16/16
topic Neuro Trauma on 05/15/16
topic Drowning on 05/15/16
topic Wound Management on 05/15/16
topic Kidney Embryology on 05/15/16
topic Neuro Trauma on 05/15/16
topic Neuro Trauma on 05/15/16
topic Drowning on 05/15/16
topic Wound Management on 05/15/16
topic Nephrolithiasis on 05/15/16
topic Hypertension on 05/14/16
topic Cardiomyopathies on 05/14/16
topic Hemoptysis on 05/14/16
topic Melanoma on 05/14/16
topic Drowning on 05/14/16
topic Cardiomyopathies on 05/14/16
topic Hypertension on 05/14/16
topic Kidney Embryology on 05/14/16
topic Dacryocystitis on 05/14/16
topic Hemoptysis on 05/14/16
topic Cardiomyopathies on 05/14/16
topic Cardiomyopathies on 05/14/16
topic Cardiomyopathies on 05/13/16
topic Melanoma on 05/13/16
topic Wound Management on 05/13/16
topic Drowning on 05/13/16
topic Pituitary Apoplexy on 05/13/16
topic Pituitary Apoplexy on 05/13/16
topic Neuro Trauma on 05/13/16
topic Pituitary Apoplexy on 05/13/16
topic Wound Management on 05/13/16
topic Neuro Trauma on 05/13/16
topic 0513201601 on 05/13/16
topic Burns on 05/13/16
topic 0504201601 on 05/13/16
topic Aortic Stenosis on 05/13/16
topic Pituitary Apoplexy on 05/13/16
topic Meningitis on 05/13/16
topic Melanoma on 05/13/16
topic Meningitis on 05/12/16
topic Pituitary Apoplexy on 05/12/16
topic Pituitary Apoplexy on 05/12/16
topic Aortic Stenosis on 05/12/16
topic Chronic Bronchitis on 05/12/16
topic Hepatitis B on 05/12/16
topic Pituitary Apoplexy on 05/12/16
topic Orthopedic Trauma on 05/12/16
topic Rh Disease on 05/12/16
topic Hepatitis B on 05/12/16
topic Aortic Stenosis on 05/12/16
topic Rh Disease on 05/12/16
topic Heme Metabolism on 05/11/16
topic Chronic Bronchitis on 05/11/16
topic Hemoptysis on 05/11/16
topic Scabies on 05/11/16
topic Encephalitis on 05/10/16
topic Abscess (Brain) on 05/10/16
topic Dacryocystitis on 05/10/16
topic Kidney Embryology on 05/10/16
topic 0510201601 on 05/10/16
topic Abscess (Brain) on 05/10/16
topic Basal Ganglia on 05/10/16
topic Basal Ganglia on 05/09/16
topic Otosclerosis on 05/09/16
topic Otosclerosis on 05/09/16
topic Meniere's Disease on 05/09/16
topic Pap Smear on 05/09/16
topic Basal Ganglia on 05/09/16
topic Pap Smear on 05/09/16
topic Gracilis on 05/09/16
topic Encephalitis on 05/09/16
Ad 1