Multiple Myeloma

Quiz yourself regarding some of the learning points discussed at intern report today:

1. What is the most common presenting complaint in a new diagnosis of multiple myeloma?

2. Of the CRAB menumonic (Calcium, Renal, Anemia, Bone), which is least frequently seen in multiple myeloma?

3. Elevated protein gaps are seen in monoclonal gammopathies, like multiple myeloma.  Name two common chronic infections (that are easily screened for) that also cause protein gaps.

Answers: 1. Bone pain (especially back pain)  2. Hypercalcemia (in order of least to most likely actually spells out C.R.A.B) 3. HIV and Hep C