Scenario 24 - multiple myeloma Flashcards

1
Q

How might calcium investigations reveal multiple myeloma?

A

High Ca2+
ALP normal
PTH low
Together with BACKACHE

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2
Q

Why is ALP normal in multiple myeloma?

A

Hyperproliferating plasma cells suppress osteoblasts (which produce ALP)

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3
Q

Recall the mnemonic for the signs of multiple myeloma

A
CRAB
Calcium high
Renal impairment
Anaemia
Bone
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4
Q

Recall 2 tests used to diagnose multiple myeloma

A

IgG

Urinary Bence-Jones protein

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