This case study is of a 72- year-old man presenting with symptoms of a cerebrovascular accident. The laboratory investigations in this patient were suggestive of hypercalcemia, but further probe led to the diagnosis of multiple myeloma and hyperviscosity syndrome. Case presentation A 72-year-old male patient was brought to the emergency department with chief complaints of slurred speech, altered mental status, and unstable gait. Medical history The patient had a history of hypertension, hyperlipidemia, and benign prostatic hyperplasia.
Significant weight loss (14 pounds) in the past three months with decreased energy, shortness of breath on exertion, and fatigue. Personal history The patient had a history of smoking (34 pack-years). On examination Pallor, generalized weakness Blood pressure - 149/80 mmHg Conscious Disoriented Systemic examination RS: Respiratory rate - 16 breaths per…
