Thanks for your input. We’ve established that Myeloma is a particular concern in this patient. The following investigations were suggested:
- Serum electrophoresis
- Urine electrophoresis
- Serum free light chains
- Bone marrow biopsy
- Skeletal survey.
There are quite a few points to consider here.
What combination of results would convince you that this patient had Myeloma? What is considered a ‘positive’ serum electrophoresis result?
What are serum free light chains? What information do they add?
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