A frequent presentation of multiple myeloma is the combination of acute back pain and constipation. Both are common symptoms in the population and are usually benign. However, in myeloma, both vertebral collapse (back pain) and hypercalcaemia (constipation) are medical emergencies for which relatively simple manoeuvres are effective. Other features of myeloma are generalised bone pain, thirst, confusion, anaemia, weight loss and general malaise.
...
Action: Check serum calcium (high), and both blood and urine immunoglobulins for a paraprotein (20% of myeloma shows a paraprotein in the urine only). Arrange X-rays of the affected area looking for osteoporosis or classical lytic lesions.
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16 November 2023
Anynomous
"
A 57-year-old man is evaluated with an esophagogastroduodenoscopy after an episode of hematemesis. The patient reports a history of tobacco use and hypercholesterolemia, but is otherwise healthy. He has had lower back pain for the past month and has been intermittently using acetaminophen 1000 mg for relief. His endoscopy shows a 3-cm duodenal ulcer. Which of the following statements is correct regarding this finding?
A
The lesion should be biopsied as duodenal ulcers have an... elevated risk of being due to carcinoma.
B
First-line therapy should be discontinuation of acetaminophen use.
C
The patient is not at risk for any associated cancers.
D
Poor socioeconomic status is a risk factor for development of this condition.
E
Antral gastritis is rarely found with this condition.
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21 June 2023
Anynomous
"
The 3 most effective preventive interventions in decreasing the risk of developing CAD. . . . .... . . . . . . 1- Smoking cessation 2- Treatment of hyperlipidemia 3- Treatment of HTN
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23 March 2023
Anynomous
"
In this page we will follow a specialized system. Some posts will offer links to download the most updated books in internal medicine. Other posts will offer a wide variety of media to allow easy understanding of specific topics. Also you can suggest any topic for open discussion.
Anynomous
"
A frequent presentation of multiple myeloma is the combination of acute back pain and constipation. Both are common symptoms in the population and are usually benign. However, in myeloma, both vertebral collapse (back pain) and hypercalcaemia (constipation) are medical emergencies for which relatively simple manoeuvres are effective. Other features of myeloma are generalised bone pain, thirst, confusion, anaemia, weight loss and general malaise.
...Action: Check serum calcium (high), and both blood and urine immunoglobulins for a paraprotein (20% of myeloma shows a paraprotein in the urine only). Arrange X-rays of the affected area looking for osteoporosis or classical lytic lesions.
See More " 16 November 2023Anynomous
"
A 57-year-old man is evaluated with an esophagogastroduodenoscopy after an episode of hematemesis. The patient reports a history of tobacco use and hypercholesterolemia, but is otherwise healthy. He has had lower back pain for the past month and has been intermittently using acetaminophen 1000 mg for relief. His endoscopy shows a 3-cm duodenal ulcer. Which of the following statements is correct regarding this finding?
A
The lesion should be biopsied as duodenal ulcers have an... elevated risk of being due to carcinoma.
B
First-line therapy should be discontinuation of acetaminophen use.
C
The patient is not at risk for any associated cancers.
D
Poor socioeconomic status is a risk factor for development of this condition.
E
Antral gastritis is rarely found with this condition.
See More " 21 June 2023Anynomous
"
The 3 most effective preventive interventions in decreasing the risk of developing CAD. . . . .... . . . . . . 1- Smoking cessation 2- Treatment of hyperlipidemia 3- Treatment of HTN
See More " 23 March 2023Anynomous
"
In this page we will follow a specialized system. Some posts will offer links to download the most updated books in internal medicine. Other posts will offer a wide variety of media to allow easy understanding of specific topics. Also you can suggest any topic for open discussion.
" 24 November 2023