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31st May 2023
A 56-year-old female is admitted under the care of the medical team with severe pneumonia and stage 3 AKI
A 56-year-old female is admitted under the care of the medical team with severe pneumonia and stage 3 AKI. On the post take ward round, ‘myeloma bloods’ are performed as part of a renal screen. The results are as follows:
| Hb | 128 g/L | (120-170 g/L) | Polyclonal band in gamma region | ||||
| WCC | 23.1 x 10⁹/L | (3.6-11 x 10⁹/L) | IgG | 22 g/L | (6-16 g/L) | ||
| Platelets | 160 x 10⁹/L | (150-400 x 10⁹/L) | IgA | 2.8 g/L | (0.8-3 g/L) | ||
| CRP | 320 mg/L | (<5 mg/L) | IgM | 1.9 g/L | (0.4-2.5 g/L) | ||
| Urea | 17.4 mmol/L | (2.5-7.8 mmol/L) | Kappa light chains | 78 mg/L | (3.3-19.4 mg/L) | ||
| Creatinine | 184 µmol/L | (59-104 µmol/L) | Lambda light chains | 134 mg/L | (5.7-26.3 mg/L) | ||
| Kappa/lambda ratio | 0.58 | (0.26-1.65) | |||||
With regards to this case, which of the following statements is true?
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