Ontology highlight
ABSTRACT:
SUBMITTER: Shaikh S
PROVIDER: S-EPMC6737722 | biostudies-literature | 2019
REPOSITORIES: biostudies-literature
Shaikh Sana S Nwankwo Christian C Lacasse Alexandre A Cheng Steven S
Journal of community hospital internal medicine perspectives 20190905 4
Acute on chronic renal failure is a common but notably broad diagnosis. We present a 64-year-old man with a history of diastolic heart failure and chronic kidney disease, admitted for an elevated creatinine. History and physical examination were suggestive of decompensated heart failure; however, the careful interpretation of urinalysis rendered the diagnosis of multiple myeloma. On renal biopsy, the patient was found to have light chain deposition disease with cast nephropathy. Combination lesi ...[more]