<prompt> Answer this question truthfullyWhat does a physical examination for the detection of multiple myeloma entail?  <response>: <reason> Multiple myeloma patients often appear lethargic and fatiguedLow-grade fever may be presentPallor Ecchymoses PurpuraLymphadenopathy Conjuctival pallor Visual defects Exudative retinal detachment Retinal haemorrhage Increased adipose deposition around the neck if dexamethasone is used for therapy Cotton-wool spots may be presentHepatomegaly Splenomegaly Abdominal tenderness if hypercalcemia is presentBony tenderness along cervical, thoracic, and lumbar spine Bony tenderness in long bones Tinels sign may be present Phalen sign may be presentDermatomal sensory loss Altered sensation NeuropathyMood alterations if hypercalcemia is present 