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163398 Medicine

A 63-year-old man develops edema, and dyspnea on exertion. He has no prior cardiac or renal conditions, and his examination is significant for macroglossia, elevated jugular venous pressure (JVP), hepatomegaly, and 3+ pedal edema. His investigations reveal 3.5 g/d of protein in the urine, anemia, normal fasting glucose, and serum immunoelectrophoresis is positive for a monoclonal immunoglobulin. Which of the following is the most characteristic neurologic finding associated with this condition?

Aperipheral motor and sensory neuropathy
Bspinal cord compression in the lumbar region
Cspinal cord compression in the thoracic region
Da peripheral neuropathy associated with cerebral manifestations
Medicine
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