Multiple myeloma,”Hyper Ca, Renal failure (thus may see high PO4), anemia

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Multiple myeloma,”Hyper Ca, Renal failure (thus may see high PO4), anemia

bone lysisDx: High IgG or IgA (M spike) in urine or serumSmear: Rouleaux formation (IgG causes rbc to stick together)Treatment: HSC transplant*Serum monoclonal protein >3*>10% abnormal plasma cells in BM”