Referral Criteria & Admission Criteria

Referral Criteria

• Age >60 with persistent bone pain/unexplained fractures: then do FBC, Ca, ESR & Plasma Viscosity.
• Urgent (<48hr) protein electrophoresis and Bence Jones protein if:

Raised calcium, Leukopenia, Raised ESR/plasma viscosity, Features consistent with myeloma

• 2-week cancer referral if protein tests suggest myeloma

Admission Criteria

• Spinal cord compression symptoms
• Calcium ≥3.01
• AKI