Chief Complaint: Bone Pain
a. History: Frequent respiratory infections
Differential Diagnosis
Multiple Myeloma
| Next Pivotal Assessment | Findings | ||
|---|---|---|---|
| Serum protein electrophoresis: | M protein spike in the gamma region | ||
c. Radiographs of the skull, long bones, and spine: Multiple “punched-out” lesions
d. Bone Marrow Aspiration: Large numbers of neoplastic plasma cells
Diagnosis