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Think like a doctor #happy 4/20 you'll need to not be high for this and not an r-slur

69 y/o male presents after multiple bruises and bone pain, neuropathy and paraprotein general screening. Further testing showed non IgM paraprotein. There are only 2 diagnoses that makes sense so start asking questions for this very obvious guided answer.

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Rectal prolapse?

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That is an unexpected answer

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Gender dysphoria?

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I was thinking more in the monoclonal gammopathy range

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