A 42-Year-Old Man With Backache and Fatigue After a Divorce

A 42-Year-Old Man With Backache and Fatigue After a Divorce

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Ankit Raiyani, MBBS, MD, DNB (Hematology); Vikramjit Kanwar, MBBS, MBA, MRCP(UK)

July 09, 2020

Editor’s Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

A 42-year-old businessman describes fatigue over the past 6 months, after a divorce. He also reports intermittent low back pain, which has been relieved by over-the-counter ibuprofen. He reports that he has otherwise been in generally good health and attributed his symptoms to depression, for which he has been seeing a therapist.

He takes over-the-counter vitamin supplements but no prescription medications, including antidepressants. His travel history is significant only for a trip to the Bahamas with his new girlfriend 1 month ago. He explains that since his trip, his backache worsened. It is now waking him up at night. Sometimes, when he wakes, he feels feverish and sweaty. He reports that he has also lost a “few pounds” of weight. Concerned by these symptoms, his girlfriend persuaded him to consult a physician.

The patient’s pain is confined to his lower back and is not relieved by heat or by rest. He does not have any other bone aches or pains or any joint pain or swelling. He has no significant history of rashes or bruising. He does not describe a cough, wheeze, chest pain, hoarseness, shortness of breath, or other respiratory symptoms. The patient quit smoking 4 years ago after an episode of severe pneumonia. He consumes alcohol in moderation and denies using recreational drugs.

Medscape © 2020 WebMD, LLC

Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Ankit Raiyani, Vikramjit Kanwar. A 42-Year-Old Man With Backache and Fatigue After a Divorce – Medscape – Jul 09, 2020.

Consultant, Qure Hematology-Oncology Group, Ahmedabad, Gujarat, India

Disclosure: Ankit Raiyani, MBBS, MD, DNB (Hematology), has disclosed no relevant financial relationships.

Director, Qure Hematology-Oncology Group, Ahmedabad, Gujarat, India; Adjunct Professor, Albany Medical College, Albany, New York

Disclosure: Vikramjit Kanwar, MBBS, MBA, MRCP(UK), has disclosed no relevant financial relationships.

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A 42-Year-Old Man With Backache and Fatigue After a Divorce

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{text}

© 2005 – 2018 WebMD LLC. All rights reserved.

WebMD does not provide medical advice, diagnosis or treatment.

See additional information.

Leukemia & Lymphoma

Research & References of Leukemia & Lymphoma|A&C Accounting And Tax Services
Source

Leukemia & Lymphoma

Leukemia & Lymphoma

Have you tried them?

Nausea is among the most common.

What is it?

Blood cancers affect the production and function of blood cells. Most of these cancers start in bone marrow, where blood is made. The most common are leukemia, lymphoma, and myeloma. Symptoms may include fever, night sweats, swollen glands, fatigue, joint pain, swollen lymph nodes, and weight loss.

Blood Test May Predict Lymphoma Response

A blood test that checks the level of tumor cells before and after cancer treatment could tell doctors within days or weeks, rather than months, whether the treatment has been effective, researchers report.

Read Full Article

Lymphoma refers to a malignancy of the lymphatic system. The lymphatic system is a network of nodes (knots of tissue) connected by vessels. Together, the lymph nodes drain fluid and waste products from the body. The lymph nodes act as tiny filters, removing foreign organisms and cells.

Lymphocytes, are a type of white blood cell that helps fight infections caused by bacteria, viruses, or fungi. The lymph node function is to prevent infections from entering the bloodstream. When the lymphatic system is fighting an active infection, you may notice that some of the lymph nodes in the area of the infection become swollen and tender. This is the body’s normal reaction to an infection.

What are they and why do we need them?

See it in pictures, plus read the facts.

Fight cancer one plate at a time.

Do you know the symptoms?

{text}

© 2005 – 2018 WebMD LLC. All rights reserved.

WebMD does not provide medical advice, diagnosis or treatment.

See additional information.

Leukemia & Lymphoma

Research & References of Leukemia & Lymphoma|A&C Accounting And Tax Services
Source