Tag Archives: myeloma

Case 47 – update 2

So we have another update on our gentleman. He has been found to have nephrotic syndrome and a renal biopsy has been performed which has now come back and is consistent with AL Amyloid nephropathy. Further investigations revealed an IgG … Continue reading

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Case 47 – update 1

Here is our first update on our 60 year old gentleman, who only has childhood asthma in his pmh. He initially presented with ankle swelling and despite 20mg furosemide he felt it was getting slightly worse at his second visit. … Continue reading

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Case 27 – update 4

When evaluating the patient with a paraprotein it is important to rule out conditions that require treatment such as myeloma, amyloid and plasmacytoma. The patient did not have any end organ damage attributable to myeloma. However we were concerned that … Continue reading

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Case 27 – update 2

Thank you so far for your contributions via #TeamHaem on Twitter. ┬áThe start of case 27 can be found below… The patient states she gets dizzy when standing up and indeed she has postural hypotension. This is attributed to her … Continue reading

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Case 24 – summary

This case took us on a romp through the symptoms, signs and diagnosis of myeloma with a glance in the direction of some of the more serious complications. Let’s summarise: Symptoms and signs: Often non-specific, but back pain (due to … Continue reading

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Case 24 – update 2

Thanks for your input. We’ve established that Myeloma is a particular concern in this patient. The following investigations were suggested: Calcium Serum electrophoresis Urine electrophoresis Serum free light chains Bone marrow biopsy Skeletal survey. There are quite a few points … Continue reading

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Case 24 – update 1

What did you all think of our 82 year old man with a normocytic anaemia? We have established that the patient has an Hb of 82, MCV 89, normal plts and WCC and an unremarkable film. He has normal liver … Continue reading

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