42 Yrs, Male, presented with weakness, fatigue and ill health. On investigation -

Haemoglobin: 9.0  gm %

Total Leucocyte Count : 4,000 /cmm     

A Normal Differential

Sr. Creatinine: 4.3 mg % (390.90 umol/l)

USG: Bilateral Hydronephrosis, Diffuse thickening of stomach wall ? Ca. Stomach.

Smears from centrifuged Ascitic Fluid -

 

- Dr. Sachin Kale