| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Prognosis
and outcomes
-
Alkylating agents induce
remission in about 50-70%.
-
Even with treatment, median
survival is only about 3 years.
-
Untreated, survival is 6-12
months.
-
Biophosphonates are used to
inhibit bone resorption.
-
Keep these folks well hydrated
to
prevent myeloma kidney.
-
Bone marrow transplant improves
survival, but is noncurative.
-
Renal failure, infections and
hemorrhage are leading causes of death.
-
Although hyperviscosity
syndrome is not common with myeloma, it is a possibility.
As Mr. Conrad found out,
life
is full of surprises.
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