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September 1, 2005
When You Visit Your Doctor Multiple Myeloma
Questions to Discuss with Your Doctor:
Have you had any recent infections?
Do you have a cough?
Do you have sinus congestion?
Do you have burning with urination?
Do you know when to call your doctor with symptoms of infection?
Do you have pain in any of your bones? If so, is it constant,
or does it occur only when you move?
Have you had any recent fractures?
Do you have pain in your spine? Does it radiate to another part
of your body?
Have you noticed a decrease in sensation or strength in your
hands or feet?
Have you had loss of bladder or bowel control?
Do you know when to seek medical attention for back pain?
Have you been fatigued?
Have you been lightheaded?
Have you been short of breath with minimal exertion?
Do your gums bleed when you brush your teeth?
Do you bruise easily, or get nosebleeds?
Have you been weak, nauseated, constipated, or confused?
Have you had a headache or a change in your vision?
Can you feel any lumps or masses under your skin?
Are you aware of the possible complications that can develop
from multiple myeloma?
Do you know which symptoms should cause you to call your doctor?
Your Doctor Might Examine the Following Body Structures or Functions:
Neurology examination (to check for strength and sensation in
your hands and feet)
Lymph nodes (neck, axilla, and groin)
Your Doctor Might Order the Following Lab Tests or Studies:
Blood tests for complete blood count, electrolytes, kidney
function, uric acid, calcium, and beta-2 microglobulin (see p.
Serum protein electrophoresis or SPEP (see p. 157)
Urine protein electrophoresis or UPEP
Quantitative immunoglobulin levels in the urine and blood
24-hour urine collection for protein
Bone marrow biopsy (see
p. 720) Skeletal radiographs
CT scan (see p. 141)
MRI scan (see