Extramedullary plasmacytoma is a rare and unusual complication of multiple myeloma (MM). Some sites for the extramedullary involvement MM are liver, spleen, lymph node, lung, skin. Renal failure another due to kidney, uric acid nephropathy, hemoconcentration, or light chain disease. This study reported case with presentation. She was 61-year-old woman who admitted internal ward severe renal fai...

When disease leads to moderate or severe hypoalbuminemia (i.e., albumin <2 mg/dl), detrimental consequences may influence the clinical course and negatively impact the prognosis. In fact, multiple human studies and a few veterinary ones have shown hypoalbuminemia to be correlated with a poorer prognosis. Treatment considerations for hypoalbuminemic patients should address the consequences and c...

Her first known episode of Idiopathic Systemic Capillary Leak Syndrome (ISCLS) transpired during the winter of her eleventh year, coinciding with a community epidemic of H1N1 influenza. The patient was hospitalized for tachycardia, hypotension hypothermia, hemoconcentration and hypoalbuminemia. She needed significant amounts of IV fluids, albumin and vasopressors to recover from a critical epis...

Upon entering into aestivation, Protopterus aethiopicus develops a respiratory acidosis. A slow compensatory increase in plasma bicarbonate suffices only to partially restore arterial pH toward normal. The cessation of water intake from the start of aestivation results in hemoconcentration and marked oliguria. The concentrations of most plasma constituents continue to increase progressively, an...

Systemic Capillary Leak Syndrome (SCLS) is a rare disorder characterized by increased capillary hyperpermeability leading to hypovolemic shock due to a markedly increased shift of fluid and protein from the intravascular to the interstitial space. Hemoconcentration, hypoalbuminemia and a monoclonal gammopathy are characteristic laboratory findings. Here we present a patient who suffered from SC...

Dengue hemorrhagic fever (DHF) and corona virus disease 2019 (COVID-19) are two viral infectious diseases that can occur simultaneously have the potential to complicate each other. Therefore, sustained attention this phenomenon is required. A 9 y.o. boy was diagnosed with dengue COVID-19 at Panti Rapih Hospital in Yogyakarta, Indonesia, early phase of pandemic. Both distinctive clinical laborat...

Shock has been differentiated from hemorrhage on the basis of hemoconcentration, negative reaction to blood transfusions, and pathological changes in the tissues (1). In hemorrhage, dilution of the blood occurs while concentration takes place in shock. After simple loss of blood, prompt recovery follows transfusion, whereas in severe shock, the administration of blood is frequently unavailing. ...

BACKGROUND An important challenge in the identification of dengue is how to predict which patients will go on to experience severe illness, which is typically characterized by fever, thrombocytopenia, haemorrhagic manifestations, and plasma leakage. Accurate prediction could result in the appropriate hospital triage of high risk patients. The objective of this study was to identify clinical fac...

BACKGROUND Prior reports on metabolic derangements observed in distance running frequently have small sample sizes, lack prerace laboratory measures, and report sodium as the sole measure. HYPOTHESIS Metabolic abnormalities-hyponatremia, hypokalemia, renal dysfunction, hemoconcentration-are frequent after completing a full or half marathon. Clinically significant changes occur in these labora...