Question Solvethis immediately polyps 23. A 65-year-old previously healthy Ashkenazi Jewish woman presents with complaints of ten- derness throughout her ribs and spine. She has noted increasing fatigue and weight loss over the past 6 months, and has missed several days of work due to minor infections. Physical ex- amination is within normal limits aside from point tenderness near her posterior ribs and thoracic spine. Laboratory studies reveal a WBC count of 8400/mm², hemoglobin level of 7.9 g/dL, platelet count of 200,000/mm, and 3+ protein in the urine. X-ray of the chest reveals lytic lesions in several areas of the ribs and spine. Bone scan is within normal limits. What is the most likely pathology behind her fractures?

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Transcribed Image Text: polyps 23. A 65-year-old previously healthy Ashkenazi Jewish woman presents with complaints of ten- derness throughout her ribs and spine. She has noted increasing fatigue and weight loss over the past 6 months, and has missed several days of work due to minor infections. Physical ex- amination is within normal limits aside from point tenderness near her posterior ribs and thoracic spine. Laboratory studies reveal a WBC count of 8400/mm², hemoglobin level of 7.9 g/dL, platelet count of 200,000/mm, and 3+ protein in the urine. X-ray of the chest reveals lytic lesions in several areas of the ribs and spine. Bone scan is within normal limits. What is the most likely pathology behind her fractures?
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Transcribed Image Text: polyps 23. A 65-year-old previously healthy Ashkenazi Jewish woman presents with complaints of ten- derness throughout her ribs and spine. She has noted increasing fatigue and weight loss over the past 6 months, and has missed several days of work due to minor infections. Physical ex- amination is within normal limits aside from point tenderness near her posterior ribs and thoracic spine. Laboratory studies reveal a WBC count of 8400/mm², hemoglobin level of 7.9 g/dL, platelet count of 200,000/mm, and 3+ protein in the urine. X-ray of the chest reveals lytic lesions in several areas of the ribs and spine. Bone scan is within normal limits. What is the most likely pathology behind her fractures?