Case 24-1966

Presentation of CaseAn eighty-four-year-old retired plumber entered the hospital because of weakness.He had been well until five months previously, when there was the onset of weakness, occasional night sweats and anorexia, with a loss of 28 pounds in weight. Many years earlier he had been told that he had a "spot on the lung." Examination in the Medical Clinic three months before admission was unremarkable except for enlargement of the prostate gland. The urine gave a trace test for protein. The hemoglobin was 13.9 gm. per 100 ml., and the white-cell count 7100. The urea nitrogen was 15 . . .