Myelomatosis
It is a cancer of the plasma cells.
Clinical
features
1.Bone pains:All bones.
2.Loss of appetite.
3.Nausea.
4.Constipation.
5.Polyuria.
6.Anaemia.
7.Weakness beloiw waist.
8.Renal failure.
9.pathological fracture.
10.Bleeding tendency due to
thrombocytopenia.
Investigations
Test |
Features |
Haemogram |
.Low Hb. .High ESR. .Low platelet count. |
Urine |
.Bens jones proteins. |
Bone marrow examintion |
.Immature plasma cells. |
Treatment
1.Melphalan IV.
2.Radiotherapy for bone pain.
3.Plenty of liquids orally.
4.Bicarbonates orally.
5.Blood transfusion for anaemia.
6.Analgesics for bone pain.
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