Pathophysiology of Multiple Myeloma

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PATHOPHYSIOLOGY OF MULTIPLE MYELOMA

Predisposing Multiple Myeloma:

Precipitating Factors:
1. Stress
2. Lifestyle

1. Age (58 y/o) the risk of MM


goes up with age
2. Familial
history
of
cancer
(patients uncle)
3. Having
MGUS
(Monoclonal
Gammopathy
of
Uncertain
Significance)

Chromosomes and genes


destroyed

Kidney failure

Promote gene to
chromosomes stimulate
antibody genes

Eliminating controls B cell


proliferation & antibody
secretion

Overproduction antibody

Plasma cells are immature


proliferation has suffered

High risk infection

Plasma tumor cells


proliferating

Anemia
Hb

Disorders of the
musculoskeletal
Impaire
d
walking

Spread widely in the marrow


cavity throughout the
skeleton

Anorexia

Oxygen
Hb

Weak, dizzy,
pale skin

Muscle strength
Imbalanc
e
Nutrition

Impaired mobility
Corrosion on the bone

Risk of injury
fracture phatologic

Bacterial Infection of bone


Acute Pain
Back pain
Numbness, muscle
weakness in the legs

Fatigue

Activity
Intolerance

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