Rhabdomyolysis, Not So Fast My Friend!

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Rhabdomyolysis, Not So Fast My Friend! - Page #1

Author: Megan Meier, MD Co Author #1: Theodore A. Boehm Co Author #2: Brian R. Coleman Co Author #3: James R. Barrett Patient Presentation: 19 year-old NCAA Division I Football Player Tea colored urine X 1-2 days Recently returned to football training for the fall season Reports associated diffuse muscle soreness attributed to workouts in the weight room and on the field Denies fatigue, dysuria, oliguria, or other urinary changes, nausea, vomiting, diarrhea, abdominal pain, GI complaints, respiratory symptoms, sore throat, or nasal drainage. History: No past history of similar symptoms Initial symptoms caused concern for mild rhabdomyolysis vs. dehydration Treated by ATC with aggressive oral hydration and rest No change in symptoms. Athlete sent for evaluation by team physician Physical Exam: General: well-appearing male in no acute distress Vitals all within normal limits Skin: no rash, lesions, jaundice, or pallor HEENT: normocephalic, atraumatic, no pharyngeal erythema or exudates, no lymphadenopathy (LAD), no scleral icterus, EOMI, PERRLA Cardiovascular: regular in rate and rhythm, no murmurs Pulmonary: clear to auscultation, non-labored, without wheezes or rhonchi Abdomen: soft, non-tender, non-distended, no palpable hepatosplenomegaly, mild flank pain bilaterally Extremities: no edema, normal peripheral pulses Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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