Scenario 24 - multiple myeloma Flashcards
1
Q
How might calcium investigations reveal multiple myeloma?
A
High Ca2+
ALP normal
PTH low
Together with BACKACHE
2
Q
Why is ALP normal in multiple myeloma?
A
Hyperproliferating plasma cells suppress osteoblasts (which produce ALP)
3
Q
Recall the mnemonic for the signs of multiple myeloma
A
CRAB Calcium high Renal impairment Anaemia Bone
4
Q
Recall 2 tests used to diagnose multiple myeloma
A
IgG
Urinary Bence-Jones protein