Question

Chapter 9: HEMATOPOIETIC SYSTEM Read the following case study and answer the questions that follow: Susan is a 52-year-old mother of three. Recently she has been complaining of fatigue. She cannot seem to get rid of this bout of pneumococcal pneumonia, and now she says it feels like all of her bones hurt. Her physician orders a skeletal survey. 1. What do you suspect her physician is looking for? 2. What "type" of disease does Susan have? Is it proliferation of the plasma cells? 3. What do you Susan's skeletal survey will look like radiographically? 4. What is the percentage of bone loss that must occur before the disease can be visualized with conventional radiography? 5. What modifications, if any, in technical factors should be done with multiple myeloma and why? I 6. Why is it important to know if a patient has been diagnosed with multiple myeloma prior to the injection of iodinated contrast media? radiologic pathology

Please can you answer questions # 5 and 6

Answer 1

5.Some of the other technical factors which can be done with multiple myeloma are

• MRI can detect the cells which are affected and myelomatic .This dies not use the X Ray's for diagnostic puroose
• CT can be used to find the growth or new abnormal cells.
• PET scan can detect the level of the disease intensity, metastasis in to other organs
• Molecular testing can be done to provide the appropriate treatment with the results available
• Blood test can be used to find out te presence of any antibody against it.

6.A patient who has multiple myeloma cannot be given dye or contrast media during a procedure because it can cause renal damage or acute renal failure.The use of iodine as contrast in these patients can lead to post contrast acute kidney injury.