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Common complaints, difficult diagnosis: multiple myeloma.

Colleen Dvorak1

  • 1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA. csd10@cwru.edu

Journal of the American Academy of Nurse Practitioners
|May 10, 2006
PubMed
Summary

Multiple myeloma, a cancer common in older adults, presents with vague symptoms like back pain and fatigue. Early recognition by nurse practitioners is crucial for timely diagnosis and better patient outcomes.

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Area of Science:

  • Oncology
  • Hematology

Background:

  • Multiple myeloma is a hematologic malignancy primarily affecting the geriatric population.
  • The incidence of multiple myeloma is projected to rise due to the aging global population.

Observation:

  • Patients frequently present with nonspecific symptoms such as bone pain, fatigue, and anemia.
  • These common symptoms can mask the underlying malignancy if not thoroughly investigated.

Findings:

  • Early identification of multiple myeloma requires awareness of its diverse clinical manifestations.
  • Key indicators include hypercalcemia, pathological fractures, osteopenia, and renal failure.

Implications:

  • Nurse practitioners must include multiple myeloma in their differential diagnosis for elderly patients with vague symptoms.

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  • Timely referral to oncology specialists is essential for accurate diagnosis, effective management, and improved patient prognosis.