Case study: When you suspect multiple myeloma but pathology results throw a curve ball

Read the case and take the quiz: A lesson on using the correct workup to diagnose conditions affecting bone marrow cells

By Dr Angie Yong

I first met Celia, a lovely 68-year-old lady, when she was admitted to hospital following a fall resulting in a closed head injury with a small subdural haematoma. Her medical team noticed she had significant postural hypotension with a drop in systolic blood pressure from systolic 100 (units) to 60 on sitting for more than five minutes. She also had peripheral neuropathy with mild glove and stocking sensory loss on her feet and hands.