A 62-year-old consulted her GP due to irritability over the last 3-4 weeks. She was also suffering from non-specific back pain from last 2 months; the pain was gradually increasing in severity. Medication history: The lady was on paracetamol and ibuprofen for back pain. She also noticed some abdominal discomfort and constipation, which she related to the medication for the back pain. She takes no other medicines and does not drink or smoke. Physical examination The lady looks a little pale.
There is no abdominal tenderness. Bowel sounds are normal. She has tenderness locally in the lower thoracic spine. The hematological investigations are given below: What is the most likely diagnosis? *This case is from the Editorial team of Docplexus and is meant for educative purposes only. The answer is posted in the comment section below!
