Fast Break Towards Admission: Multiple Cases Of Myalgias After A Collegiate Basketball Practice

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Fast Break Towards Admission: Multiple Cases Of Myalgias After A Collegiate Basketball Practice - Page #1

Author: Kelsey Bacidore, MD Co Author #1: Nathaniel Jones, MD Co Author #2: Jolie Holschen, MD Senior Editor: Kevin Gray, MD Editor: Gregory Summerville, MD Patient Presentation: Case 1 presented to our emergency department with pleurisy, neck, back, and shoulder pain and dark colored urine. Two days later, cases 2 and 3 presented to our emergency department with soreness of the back and extremities and both noted dark urine. The next two days, five additional athletes with myalgias presented to outside emergency departments. In the week after the initial patient presentation, twelve of fourteen remaining players on the team presented for evaluation upon referral, about half of whom also had myalgias. History: A Division III men’s basketball team lost their second game in two days after an 8-0 start to the 2022-2023 season. That night, the team did not adhere to curfew. Two days later, their practice included an eighty minute circuit training core and cardio workout, with one minute stations and no breaks for rest or water. Physical Exam: The following are the examination findings of the six individuals requiring treatment: Case 1: Right sided lower cervical/upper thoracic paraspinal hypertrophy and tenderness to palpation. Mildly impaired flexion at the right elbow without muscular tenderness. Case 2: Diffuse muscle tenderness; strength 5/5 in upper extremity and lower extremity. Case 3: Diffuse muscle tenderness; right lower extremity compartment soft; 5/5 upper extremity and lower extremity strength. Case 4: No edema to right lower leg or left lower leg; no muscular tenderness. Case 5: Minimal tenderness to palpation of latissimus dorsi. Case 6: No tenderness or deformity; muscles to bilateral thighs without spasms or firmness. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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