Dark Urine And Intense Leg Pain After An Air Squat Workout

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Dark Urine And Intense Leg Pain After An Air Squat Workout - Page #4

Working Diagnosis: Rhabdomyolysis Treatment: The patient remained in the hospital for 3 days. Over his hospital course the patient was started on a bicarbonate drip at 150cc/hour as well as normal saline for 100cc/hour. The patient was allowed a regular diet during his stay and PT/OT was ordered for evaluation before he was discharged Author's Comments: The patient was able to return to normal activity and was given education on Rhabdomyolysis and signs to look out for. Advised to continue daily PO fluids and to limit intense workouts. Editor's Comments: This patient exhibited intense pain and dark colored urine after intense exercise. Along with weakness, pain and 'tea-colored' urine make up the classic triad of signs/symptoms associated with rhabdomyolysis. His CPK level over 5 times normal confirmed the diagnosis. He was appropriately treated with IV hydration and alkalization to prevent kidney damage. References: 1. Grau, J. M., & Poch, E. (2016). Pathophysiology and management of Rhabdomyolysis. Oxford Medicine Online. doi:10.1093/med/9780199600830.003.0355 2. Lin, C-M A., Lin, C-M., Wang T-L, Leu J-G. (2005). Rhabdomyolysis in 119 after repetitive exercise. Br J Sports Med; 39:e3. doi:10.1136/bjsm.2004.013235 Return To The Case Studies List.		Back
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