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학습 자료 둘러보기 →Suspect multiple myeloma in older adults presenting with persistent bone pain, especially in the back or ribs. The pain is caused by osteolytic lesions from malignant plasma cells.
A pathological fracture with minimal trauma is a defining skeletal-related event. Assess for this by asking about sudden, severe pain or new immobility.
Do not dismiss back pain as routine aging. Osteolytic lesions are present in up to 80-90% of patients and can lead to spinal cord compression. Prioritize a skeletal survey and safety measures to prevent falls.
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