방금 푼 그 흐름,
합격까지 이어보세요
지식 자료를 소장하고 멋진 의료인으로 성장하세요
학습 자료 둘러보기 →The most characteristic finding is bone pain, especially in the back and ribs. This pain results from osteoclast activation and osteoblast suppression by neoplastic plasma cells, causing multifocal lytic lesions and pathologic fractures.
Assess for hypercalcemia (constipation, confusion, polyuria) due to bone resorption. Lab findings include elevated total protein, M-protein on serum protein electrophoresis, and Bence Jones proteins in urine.
Handle the patient gently during repositioning; lytic lesions create a high risk for pathologic fractures. Avoid heavy lifting and monitor for sudden onset of severe pain or loss of mobility, which may indicate a spinal cord compression emergency.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.