Back pain, normocytic anemia, fatigue, and hypercalcemia. These are concerning for a hematopoietic process, particularly multiple myeloma. Serum protein electrophoresis will demonstrate the M-spike.
Hits all the CRAB symptoms for MM
C - hypercalcemia @ corrected 11+
R - renal dysfunction w/ elevated Cr @ 1.5
A - anemia w/ hematocrit @ 32%
B - bone/back pain
Appropriate workup is to send SPEP/UPEP
submitted by โbwdc(697)
Back pain, normocytic anemia, fatigue, and hypercalcemia. These are concerning for a hematopoietic process, particularly multiple myeloma. Serum protein electrophoresis will demonstrate the M-spike.