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Medicine General 62adab44

Ramla, 65 yrs old male presents with low backpain especially at L3, anaemia and fatiguability) His investigation profile reveals -Hb =7gm%, TLC-9000/cmm, DLC -N- 55%, L-30%, M-10%, E-1%, -2%,Serum proteins-8gm %, ratio-2.9/5.9, ESR-90 and serum creatinine-3.2 mg%. Likely diagnosis is -

A
Waldenstroms macroglobulinemia
B
Multiple myeloma
C
TB spine
D
Secondaries in spine
High-Yield Explanation
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