57 years old female with history of bony pain more in the back for past 4 months with sudden onset anemia without active bleeding for which she was transfused 4 units of packed rbcs 3 months back now came with complaints of breathlessness fever for 5 days her hub is 2. 5 gm elevated urea creatinine values, t. Bilirubin 2 ,ALP is more than 300 serum calcium is 9.5, hyperuricemia , serum protein electrophoresis is normal what is the diagnosis?? How to manage this case??