Info

may show rouleaux

ESR or PV

4 in 90% ; not in LC or NS MM

Urea & creatinine

May identify renal impairment (~25%)

Uric acid

May be 4

Serum albumin, calcium,

may reveal low albumin or hypercalcaemia (~20%)

phosphate, alk phos:

with normal alk phos

Serum immunoglobulins

To detect immuneparesis

Serum protein electrophoresis

To detect serum paraprotein (80%)

Routine urinalysis

To detect proteinuria (~70%)

Urine electrophoresis with

To detect Bence Jones proteinuria: 22% have BJP only and

immunofixation:

no serum M-band: LC myeloma)

X-ray sites of bone pain

May reveal pathological fracture(s) or lytic lesion(s)

D/agnost/c tests

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