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
Editor: Alan Shahtaji, DO

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.

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.

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

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Leawood, KS 66211
Phone: 913.327.1415

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