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Just the Facts: Diagnosis and management of rhabdomyolysis

  • Brit Long (a1), Elisha Targonsky (a2) and Alex Koyfman (a3) (a4)

Extract

A 32-year-old male presents with diffuse myalgias, weakness, and dark urine for 1 day. The patient states he recently started a new exercise program. He is hemodynamically stable, and his physical examination reveals diffuse muscle tenderness. His creatine kinase (CK) returns at 8,000 international units per liter (IU/L), and his urinalysis reveals blood but only three red blood cells (RBCs) on microscopy.

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Corresponding author

Correspondence to: Dr. Brit Long, Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Dr., Fort Sam Houston, TX78234; Email: brit.long@yahoo.com.

References

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1.Long, B, Koyfman, A, Gottlieb, M. An evidence-based narrative review of the emergency department evaluation and management of rhabdomyolysis. Am J Emerg Med 2019;37(3):518–23.
2.Scalco, RS, Gardiner, AR, Pitceathly, RD, et al. Rhabdomyolysis: a genetic perspective. Orphanet J Rare Dis 2015;10:51.
3.Scalco, RS, Snoeck, M, Quinlivan, R, et al. Exertional rhabdomyolysis: physiological response or manifestation of an underlying myopathy? BMJ Open Sport Exerc Med 2016;2:e000151.
4.Petejova, N, Martinek, A. Acute kidney injury due to rhabdomyolysis and renal replacement therapy: a critical review. Crit Care 2014;18:224.
5.Michelsen, J, Cordtz, J, Liboriussen, L, et al. Prevention of rhabdomyolysis-induced acute kidney injury – A DASAIM/DSIT clinical practice guideline. Acta Anaesthesiol Scand 2019;63(5):576–86.

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Just the Facts: Diagnosis and management of rhabdomyolysis

  • Brit Long (a1), Elisha Targonsky (a2) and Alex Koyfman (a3) (a4)

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