1.

Ramesh 60 years,presents with generalized bone pain.On examination there is elevated ESR of 100 mm,serum globulin 7,lytic lesions in the skull,serum creatinine of 3.5mg/dL and serum calcium of 11mg/dL.What is the most likely diagnosis:

A. Waldenstrom's macroglobulinemia
B. Multiple myeloma
C. Hyperparathyroidism
D. Osteomalacia
Answer» C. Hyperparathyroidism


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