We have been monitoring our patient 6 monthly for 4 years. His para protein has been slowly rising and was 10g/l on his last visit 3 months ago. He has been bought to clinic slightly earlier to monitor his paraprotein.
Our patient attends his routine review and mentions a lump he has noticed on one of his ribs. It isn’t tender, and is none mobile.
- What could this be? What other information do you need?
- How would you proceed?
- What blood tests would you normally do at a routine review?
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