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 <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 Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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