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22nd June 2023
A 76-year-old man is seen in clinic where he is being followed up for multiple myeloma.
A 76-year-old man is seen in clinic where he is being followed up for multiple myeloma. He is on bortezomib every six weeks and has not had any issues with this. On routine bloods and urine dip, the following are found:
| Result | Reference range | |
|---|---|---|
| Sodium | 137 mmol/L | (133-146 mmol/L) |
| Potassium | 2.7 mmol/L | (3.5-5.3 mmol/L) |
| Bicarbonate | 14 mmol/L | (22-29 mmol/L) |
| Urea | 12.2 mmol/L | (2.5-7.8 mmol/L) |
| Creatinine | 174 μmol/L | (59-104 μmol/L) |
Urine dip: Protein 3+, blood 1+, pH 5
Which of the following diagnoses is most in keeping with these findings?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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