[1TA2B]

A 76 year old frail man was admitted with a week history of severe arm pain. He was also found to have anemia, hypercalcaemia and renal failure. Most likely diagnosis is

A. Osteogenic sarcoma
B. Ewing's tumour
C. Hemangiomatosis
D. Multiple myeloma
E. Lymphoma

click image to enlarge

 

[hakaluka]

D. multiple myeloma....
m i right?

 

[drarnab]

I second hakaluka - id say MM because of the history of hypercalcemia - the renal failure driven by the MM and finally lots of punched out lesions in the area of the pathological midshaft humerus fracture...

 

[1TA2B]

Spot on! Yes. Pathological fracture in multiple myeloma.

 

[hakaluka]

thanks....
fatigue+hypercalcemia+renal failure= MM

 

[drsalman764]

fatigue+hypercalcemia+renal failure= MM

thannks............