OK, so most of this guideline into myeloma is way over our level, but it is a useful reminder of when to think about myeloma as a possible diagnosis and what tests to do.

Beware the possibility of myeloma in patients who present with:

  • Bone disease or pain
  • Impaired renal function
  • Anaemia
  • Hypercalcaemia
  • Recurrent or persistent bacterial infection
  • Hyperviscosity or raised ESR

Tests to do if you are considering the possibility of myeloma:

  • U+E,
  • Bone Profile,
  • ESR,
  • FBC
  •  Electrophoresis
  •  Bence Jones protein
  •  Xray of symptomatic areas.

Louise Hudman

I'm a freelance GP locum in Winchester & Southampton locum chambers, and Pallant Medical Chambers Clinical Guidelines Lead Partner.

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