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April 2022 -
Volume 20, Issue 4


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From the Editor

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Prevalence of Anxiety and Depression among postgraduate trainees in Qassim, Saudi Arabia
[Abstract]
[pdf]
Jamal Alrasheedi, Unaib Rabbani
DOI: 10.5742/MEWFM.2022.9525020

Knowledge of Amblyopia among Primary Health Care Physicians and Family Medicine Residents: A Cross-Sectional Study in the Qassim Region of Saudi Arabia
[Abstract]
[pdf]
Noha Dekhail Aldekhail, Amel Abdalrahim Sulaiman
OI: 10.5742/MEWFM.2022.9525022

Acute chest syndrome and pulmonary hypertension in sickle cell diseases
Mehmet Rami Helvaci, Engin Altintas, Atilla Yalcin, Orhan Ekrem Muftuoglu,
Abdulrazak Abyad, Lesley Pocock
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525023

Barriers Facing Primary Health Care Physicians in Jazan when Dealing with Emergency Cases
[Abstract]
[pdf]
Sameer Ahmed Ali Holal, Hassan Ali Elsayed Abdelwahid
DOI: 10.5742/MEWFM.2022.9525028

Predictors of Waterpipe Smoking among Male Students of Jazan University, Jazan, Saudi Arabia
[Abstract]
[pdf]
Mohammed Ahmed Khormi, Abdullah Ibrahim Sabai, Ali Yahya Maashi, Mohammed Abduallh Khormi,
Abdulrahman Ahmed hadadi, Abdullatif Mohammed Maashi, Mohammed Ebrahim Mojiri,
Ali Ahmed Zalah, Mohammed Abkar Shok, Ali Mohammed Shawsh
DOI: 10.5742/MEWFM.2022.9525037

Children's vision health during the COVID-19 pandemic
[Abstract]
[pdf]
Moustafa Abdalhade Timorkhan, Mouazzar yusuf Thani Ibraheem
DOI: 10.5742/MEWFM.2022.9525024

Multiple myeloma presenting as a pathological rib fracture in a primary health care center and its diagnostic challenges during the COVID 19 pandemic
[Abstract]
[pdf]
Koshy Mathew, Fathima Shezoon Mohideen, Prince Christopher Rajkumar Honest
DOI: 10.5742/MEWFM.2022.9525025

The association between sleep disturbance and coronaphobia among physicians in primary health care centers of Ministry of Health, Jazan Province
[Abstract]
[pdf]
Mohammed Atiah Ahmed Bakri, Maged El-Setouhy
DOI: 10.5742/MEWFM.2022.9525026

Population and Community Studies

What it costs to access skilled birth attendance in Pakistan
[Abstract]
[pdf]
Nida Khan, Muhammad Amir Khan, Shaheer Ellahi Khan, Muhammad Ahmar Khan, Azza Warraitch
DOI: 10.5742/MEWFM.2022.9525027

Complementary and alternative medicine practice and perceptions of Saudi subjects in Western region of Saudi Arabia
[Abstract]
[pdf]
Fathi El-Gamal, Abdulaziz Bajubair, Aljawhara Hejji, Aseel Jarwan, Jamil Numan Salah
DOI: 10.5742/MEWFM.2022.9525029

Prevalence of physical and verbal violence against physicians and nurses in primary health care centres, Buraidah, Qassim province
[Abstract]
[pdf]
Moodhi. R. Almutairi, Saulat. Jahan
DOI: 10.5742/MEWFM.2022.9525038

Assessment of Food Safety Knowledge & practice and Factors that May affect them among General Population at Family Medicine Outpatient clinic
[Abstract]
[pdf]
Heba Galal Elnahas, Ghada M. Khafagy, Eman M. Abd el-Sattar, Radwa M. Elsayed
DOI: 10.5742/MEWFM.2022.9525039

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

 

 

   
April 2022 - Volume 20, Issue 4

Multiple myeloma presenting as a pathological rib fracture in a primary health care center and its diagnostic challenges during the COVID 19 pandemic

Corresponding author:
Dr Koshy Mathew, Consultant in Internal Medicine,
Primary Health Care Corporation,
Qatar
Phone: +974-66695438
Email: kmathew@phcc.gov.qa

Received: February 2022 Accepted: March 2022; Published: April 1, 2022. Citation: Koshy Mathew, Fathima Shezoon Mohideen, Prince Christopher Rajkumar Honest. Multiple myeloma presenting as a pathological rib fracture in a primary health care center and its diagnostic challenges during the COVID 19 pandemic. World Family Medicine. 2022; 20(4): 62-64. DOI: 10.5742/MEWFM.2022.9525025

Abstract

Multiple Myeloma commonly presents with a myriad of symptoms, signs and abnormal laboratory findings namely bone pains, pathological fractures, lytic bone lesions, anaemia, high ESR, hypercalcemia, raised globulin and presence of monoclonal band in serum/urine. Here, we present a 54-year-old gentleman whose initial presentation was a pathological rib fracture. However, review of his past medical history revealed gout (now asymptomatic) and abnormal laboratory findings that helped us to subsequently diagnose as Multiple Myeloma.

The importance of simple investigations like ESR when managing patients with nonspecific symptoms in primary care, listening and looking for signals that suggest an alarming aetiology, following up of investigations and the continuity of care assured by the electronic medical record is highlighted by this case report.

Keywords: Multiple myeloma, pathological rib fracture, telemedicine, early diagnosis,
primary care







 


 

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