This document summarizes the medical history and workup of a 91-year-old Chinese female patient. She has a history of diabetes, hypertension, hyperlipidemia, tuberculosis of the kidneys, gastrointestinal bleeding, and fractures. She presented with fever, cough, and renal dysfunction. Testing showed anemia, elevated creatinine and beta-2 microglobulin. Bone marrow and urine tests were performed to evaluate for multiple myeloma versus post-tuberculosis renal disease. The results were more consistent with monoclonal gammopathy of undetermined significance rather than multiple myeloma.
This document summarizes the medical history and workup of a 91-year-old Chinese female patient. She has a history of diabetes, hypertension, hyperlipidemia, tuberculosis of the kidneys, gastrointestinal bleeding, and fractures. She presented with fever, cough, and renal dysfunction. Testing showed anemia, elevated creatinine and beta-2 microglobulin. Bone marrow and urine tests were performed to evaluate for multiple myeloma versus post-tuberculosis renal disease. The results were more consistent with monoclonal gammopathy of undetermined significance rather than multiple myeloma.