27 Rhabdomyolysis

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Causes

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  • elderly pt falls on floor, can't get up for hours

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  • muscle break down, muscle content spills into plasma

  • spilled in plasma, metabolized in liver

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  • myoglobin: steadily binds more and more until saturation

Pathogenesis

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  • fluid influx to muscle tissue, decrease circulation volume

Symptoms

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Diagnosis

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  • when urinalysis positive for heme, next step microscopy to see if RBC

Treatment

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