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A Life Changing Run: When The Finish Line Isn’t The End - Page #3
 

Lab Studies:
Upon Admission
Serum glucose: 57 mg/dL
Potassium: 6.4 mmol/L
Bicarbonate: 12 mmol/L
Aspartate aminotransferase (AST): 174 U/L
Alanine aminotransferase (ALT): 95 U/L
Serum creatinine: 2.50 mg/dL
Creatine kinase (CK): 1,180 U/L
Platelet count: 197 - 10⁹/L
Venous pH: 7.22
Venous partial pressure of carbon dioxide (pCO₂): 45 mmHg
Prothrombin time (PT): 22.5 seconds
International normalized ratio (INR): 1.90
Fibrinogen: 56 mg/dL
Twenty-Four Hours Later
Serum glucose: 45 mg/dL
Bicarbonate: 19 mmol/L
Aspartate aminotransferase (AST): >7,500 U/L
Alanine aminotransferase (ALT): 6,830 U/L
Serum creatinine: 1.90 mg/dL
Creatine kinase (CK): 246,000 U/L
Platelet count: 32 - 10⁹/L
Prothrombin time (PT): 55.9 seconds
International normalized ratio (INR): 5.87
Fibrinogen: 101 mg/dL

Other Studies:
Initial Vital Signs: Temperature 40.3 degrees Celsius (104.5 degrees F), heart rate 132 beats/minute, respiratory rate 30 breaths/minute, blood pressure 150/90 mmHg, oxygen saturation 95% on 2 liters nasal cannula
Computed Tomography of the Head: Within normal limits
Right Upper Quadrant Ultrasound: Hepatomegaly
Left Upper Extremity Ultrasound: Deep venous thrombosis of the brachial vein
Computed Tomography of the Abdomen and Pelvis: Early cirrhotic changes with portal venous hypertension

Consultations:
Transplant hepatology was consulted due to the rapidly increasing liver enzymes in the setting of fulminant liver failure secondary to rhabdomyolysis and heat stroke. Transplant nephrology was also consulted for the patient's decreased urine output, significantly elevated creatine kinase and disseminated intravascular coagulation (DIC).

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

UPCOMING EVENTS


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11/19-11/22/2026
2026 AMSSM/OHSU Introductory &/or Diagnostic/Interventional Sports US Course

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12/04-12/06/2026
2026 Advanced Team Physician Course

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4/16-4/21/2027
2027 AMSSM Annual Meeting

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Phone: 913.327.1415


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