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
<br>Tea colored urine X 1-2 days
<br>Recently returned to football training for the fall season
<br> Reports associated diffuse muscle soreness attributed to workouts in the weight room and on the field
<br>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
<br>Initial symptoms caused concern for mild rhabdomyolysis vs. dehydration
<br> Treated by ATC with aggressive oral hydration and rest
<br>No change in symptoms.
<br>Athlete sent for evaluation by team physician
Physical Exam:
General: well-appearing male in no acute distress
<br>Vitals all within normal limits
<br>Skin: no rash, lesions, jaundice, or pallor
<br>HEENT: normocephalic, atraumatic, no pharyngeal erythema or exudates, no lymphadenopathy (LAD), no scleral icterus, EOMI, PERRLA
<br>Cardiovascular: regular in rate and rhythm, no murmurs
<br>Pulmonary: clear to auscultation, non-labored, without wheezes or rhonchi
<br>Abdomen: soft, non-tender, non-distended, no palpable hepatosplenomegaly, mild flank pain bilaterally
<br>Extremities: no edema, normal peripheral pulses
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