]> 2026-07-31T07:50:10+00:00 WBR0959 0 en Hypercalcemic syndrome ''' Incorrect ''' : Hypercalcemic syndrome can cause neurological symptoms as seen in this patient, but is not associated with mucosal bleeding. Disseminated intravascular coagulation Hyperviscoisity syndrome ''' Correct ''' : In this patient the symptoms are as a result of increased amounts of plasma cells, as seen in Waldenstrom macroglobulinemia and in certain cases of multiple myeloma in which abnormal polymers of IgA, IgG, or kappa light chains are produced. Acute renal failure Chronic renal failure Emergency Room A 65 year old female comes to the emergency department with sudden onset on confusion, blurry vision and mucosal bleeding by her family members. She was in her usual state this morning but suddenly developed these symptoms. On further review of history, her family members say that she had a hip fracture 6 months back and unable to do day to day activities. She attained menopause at the age of 48 and not on any estrogen pills. Her past history is otherwise insignificant and her family history is unremarkable. Her vitals are temperature: 36.7 C, blood pressure: 140/80 mmHg, pulse: 80/min and respiration: 15/min. All system examinations are normal. The patient is treated symptomatically with I.V fluids and her laboratory values comes as : Blood glucose : 112 g/dl Hb : 10 g/dl RBC’s : 2.5 million/cmm WBC’s : 6000/cmm Neutrophils : 60 % Eosinophils : 2 % Lymphocytes : 32 % Monocytes : 6 % MCHC : 34 % MCV : 85 fl ESR : 15mm/hr Serum creatinine : 2.3 mg/dl Serum calcium : 11.7 g/dl Bone marrow biopsy done to evaluate her anemia reveals 20% plasma cells. What is the most likely cause of the patient’s condition ? C Hematology Oncology 2020-10-28T02:11:37Z 2459150.5914005 WBR0959