Hematology/Oncology Case #1

62-year-old male presents to primary provider’s office with a six-month history of fatigue and gait disturbance.  He denies recent falls, weakness, pain, paralysis, or dizziness.



Lisinopril 10mg daily

Metformin 1000mg BID

Men’s multivitamin

Fish oil


Past Medical History

Diabetes Mellitus II


Gastric cancer


Past Surgical History

Cholecystectomy – 1997

Partial gastrectomy – 2004



BP-128/79, HR-81, RR-14, O2-100%, Temp-98.9o


Physical Exam

General – WN/WD, NAD

Skin – scattered senile purpura, no petechiae

CV – RRR without M/G/R

Pulmonary – CTA bilaterally without adventitial breath sounds

Neurologic – A&Ox3, 5/5 strength throughout bilaterally, DTR 2+ and equal, FROM, vibratory sensation decreased in bilateral lower extremities


Laboratory Studies


Hypersegmented Neutrophils






Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s