Medicine prudence

  Here is the deidentified case report of 58F with Multiple myeloma S/P Autologus bone marrow transplant.  Following smears are done due to severe thrombocytopenia.  OBSERVER VS CHATGPT Prompt to Chat : pretend like an expert hematoncopathologist analyse this slides of 58F with multiple myeloma S/P Autologus bone marrow transplantation. Give your inputs and analysis .  Chat gpt response :  Based on the provided images, here is a detailed analysis of the peripheral smear findings: Background Information • Patient: 58F with a known diagnosis of multiple myeloma. • History: Post autologous bone marrow transplantation (ABMT). Peripheral Smear Findings 1. RBC Morphology: • Normocytic Normochromic Population: Predominantly normal-sized red blood cells with appropriate central pallor, which is consistent with a recovered or stable hematopoietic function. • Occasional Poikilocytosis: Seen as irregular shapes, possibly due to post-transplant recove...

High-Risk Kappa Light Chain Multiple Myeloma with Cast Nephropathy: A Case Report  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box Abstract We present a case of a 58-year-old female diagnosed with high-risk Kappa light chain Multiple Myeloma (MM) with cast nephropathy requiring hemodialysis. Notable features include del(17p) and del(13q) cytogenetic abnormalities, successful transition from CyBorD to VTd regimen, and improvement in renal function. This case demonstrates the importance of risk-adapted therapy and treatment modifica...