60 yr old patient presented with lumbar pain, hypercalcemia, anemia. What is your diagnosis?



Differential diagnosis: - Multiple myeloma. - Primary lymphoma of bone or Malignant lymphoma. - Metastatic bone disease.

multiple myeloma, get immunoelectrophoresis done for confirmatory diagnosis and typing of disease.

hyperparathyroidism also to be kept in mind as almost complete rarefaction of the skull.

multiple myeloma is a possibility.fractional ESR maybe very high.

multiple myeloma hyperparathyriodism mets of bony disease

multiple myeloma,plasma cell disease,MGUS

Rule out hyperthyroidism.

multiple myeloma

multiple myeloma.

multiple myeloma

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