46 yr F, Bone marrow aspiration done

History of severe backache since 6-7 months, recent h/o of L1 fracture, ESR- 120 Previously given ATT- 6 Months back non responsive to ATT.

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Cbc? Pbs? Any rouleaux or background staining? Cellular marrow Marriw plasmacytosis... normal.. intermediate and abnormal plasma cells.. occ binuclear forms. Occasional normoblast. Diminished erythripoiesis/ granulopoiesis. Megakaryocytes not seen Likely myeloma. Sug. Cbc.. pbs Skeletal survey Plasma protein electrophoresis.

Rouleaux formation seen along with background staining.
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Multiple myeloma

Thanks sir
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myeloma

Thanks sir
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Multiple myeloma

Plasma cell disorder likely multiple myeloma.

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