The Story of a 63-year-old Woman

Anaemic syndrome

  • Normocytic, normochromic anemia. Indiscriminate initiation of oral iron therapy!!
  • 3 months later, back pain and metrorrhagia
  • Progression on anaemia – normocytic, normochromic
  • Gynaecological malignancy ruled out.
  • Vitamin B12 i.m. added wrongly. Unnecessary referral for GIT endoscopy.
  • After 6 months, pathological femoral neck fracture.
  • Histology diagnosed myeloma.
  • All that should have been done was timely protein electrophoresis and lumbosacral spine X-ray!!!
  • The pathological fracture could have been avoided!!!
  • Myeloma should always be considered! Do articulate your suspicion in time!


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