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| ==[[Myoglobinuria natural history, complications and prognosis|Natural History, Complications and Prognosis]]== | | ==[[Myoglobinuria natural history, complications and prognosis|Natural History, Complications and Prognosis]]== |
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| | ==Diagnosis== |
| | [[Myoglobinuria diagnostic study of choice|Diagnostic study of choice]] | [[Myoglobinuria history and symptoms|History and Symptoms]] | [[Myoglobinuria physical examination|Physical Examination]] | [[Myoglobinuria laboratory findings|Laboratory Findings]] | [[Myoglobinuria electrocardiogram|Electrocardiogram]] | [[Myoglobinuria x ray|X-Ray Findings]] | [[Myoglobinuria echocardiography and ultrasound|Echocardiography and Ultrasound]] | [[Myoglobinuria CT scan|CT-Scan Findings]] | [[Myoglobinuria MRI|MRI Findings]] | [[Myoglobinuria other imaging findings|Other Imaging Findings]] | [[Myoglobinuria other diagnostic studies|Other Diagnostic Studies]] |
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| | ==Treatment== |
| | [[Myoglobinuria medical therapy|Medical Therapy]] | [[Myoglobinuria surgery|Surgery]] | [[Myoglobinuria primary prevention|Primary Prevention]] | [[Myoglobinuria secondary prevention|Secondary Prevention]] | [[Myoglobinuria cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Myoglobinuria future or investigational therapies|Future or Investigational Therapies]] |
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| | ==Case Studies== |
| | [[Myoglobinuria case study one|Case #1]] |
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| ==Overview==
| | [[Category: (name of the system)]] |
| Myoglobinuria is the presence of [[myoglobin]] in the urine, usually associated with [[rhabdomyolysis]] or muscle destruction. Myoglobin is present in [[muscle]] cells as a reserve of [[oxygen]].
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| ==Pathophysiology==
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| Under ideal situations myoglobin will be filtered and excreted with the urine, but if too much myoglobin is released into the circulation or in case of renal problems, it can occlude the renal filtration system leading to acute tubular necrosis and acute [[renal insufficiency]].
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| ==Causes==
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| {{Seealso|Rhabdomyolysis causes}}
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| ===Common Causes===
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| *[[Burns]]
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| *[[Crush syndrome]]
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| *[[Electrolyte imbalance]] such as [[Hypokalaemia]] and [[Hyperphosphatemia]]
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| *[[Exercise]]
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| *[[Heat stroke]]
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| *Medication such as [[Statins]] and [[Fibrates]]
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| *[[Rhabdomyolysis]]
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| *[[Seizures]]
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| *[[Trauma]]
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| ===Causes by Organ System===
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| {|style="width:80%; height:100px" border="1"
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| |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular'''
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| |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Myocardial infarction]], [[Myocarditis]]
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| |-
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| |bgcolor="LightSteelBlue"| '''Chemical/Poisoning'''
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| |bgcolor="Beige"| [[Haff disease]], [[Snake bite ]], [[Venom]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Dental'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Dermatologic'''
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| |bgcolor="Beige"| [[Dermatomyositis]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Drug Side Effect'''
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| |bgcolor="Beige"| [[Barbiturates]], [[Carbenoxolone]], [[Diamorphine]], [[Fibrate]], [[Malignant hyperpyrexia]], [[Neuroleptic malignant syndrome]], [[Statins]], [[Trabectedin]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Ear Nose Throat'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Endocrine'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Environmental'''
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| |bgcolor="Beige"| [[Heat stroke]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Gastroenterologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Genetic'''
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| |bgcolor="Beige"| [[Calcium ATPase|Brody myopathy]], [[Carnitine palmitoyltransferase 1 deficiency]], [[Carnitine palmitoyltransferase 2 deficiency]], [[Familial paroxysmal rhabdomyolysis]], [[Glycogen storage disease type V]], [[Succinate dehydrogenase|Myopathy with deficiency of succinate dehydrogenase and aconitase]], [[Phosphoglycerate kinase|Phosphoglycerate kinase deficiency]], [[Phosphoglycerate mutase|Phosphogylcerate mutase 2 deficiency]], [[Very long-chain acyl-coenzyme A dehydrogenase deficiency]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Hematologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Iatrogenic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Infectious Disease'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Musculoskeletal/Orthopedic'''
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| |bgcolor="Beige"| [[Calcium ATPase|Brody myopathy]], [[Compartment syndrome]], [[Dermatomyositis]], [[Polymyositis]], [[Rhabdomyolysis]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Neurologic'''
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| |bgcolor="Beige"| [[Choreoathetosis]], [[Seizures]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Nutritional/Metabolic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Obstetric/Gynecologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Oncologic'''
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| |bgcolor="Beige"| No underlying causes]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Ophthalmologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Overdose/Toxicity'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Psychiatric'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Pulmonary'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Renal/Electrolyte'''
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| |bgcolor="Beige"| [[Hypokalaemia]], [[Hypophosphataemia]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Rheumatology/Immunology/Allergy'''
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| |bgcolor="Beige"| [[Dermatomyositis]], [[Polymyositis]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Sexual'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Trauma'''
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| |bgcolor="Beige"| [[Burns]], [[Crush syndrome]], [[Electric shock]], [[Trauma]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Urologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Miscellaneous'''
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| |bgcolor="Beige"| [[Exercise]], [[Myopathy|Meyer-betz disease]]
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| |-
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| |}
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| ===Causes in Alphabetical Order===
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| {{columns-list|3|
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| *[[Barbiturates]]
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| *[[Calcium ATPase|Brody myopathy]]
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| *[[Burns]]
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| *[[Carbenoxolone]]
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| *[[Carnitine palmitoyltransferase 1 deficiency]]
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| *[[Carnitine palmitoyltransferase 2 deficiency]]
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| *[[Choreoathetosis]]
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| *[[Compartment syndrome]]
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| *[[Crush syndrome]]
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| *[[Dermatomyositis]]
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| *[[Diamorphine]]
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| *[[Electric shock]]
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| *[[Exercise]]
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| *[[Familial paroxysmal rhabdomyolysis]]
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| *[[Fibrate]]
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| *[[Glycogen storage disease type V]]
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| *[[Haff disease]]
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| *[[Heat stroke]]
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| *[[Hypokalaemia]]
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| *[[Hypophosphataemia]]
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| *[[Malignant hyperpyrexia]]
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| *[[Myopathy|Meyer-Betz disease]]
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| *[[Myocardial infarction]]
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| *[[Myocarditis]]
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| *[[Succinate dehydrogenase|Myopathy with deficiency of succinate dehydrogenase and aconitase]]
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| *[[Neuroleptic malignant syndrome]]
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| *[[Phosphoglycerate kinase|Phosphoglycerate kinase deficiency]]
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| *[[Phosphoglycerate mutase|Phosphoglycerate mutase deficiency]]
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| *[[Polymyositis]]
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| *[[Rhabdomyolysis]]
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| *[[Seizures]]
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| *[[Snake bite ]]
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| *[[Statins]]
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| *[[Trabectedin]]
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| *[[Trauma]]
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| *[[Venom]]
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| *[[Very long-chain acyl-coenzyme A dehydrogenase deficiency]]
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| }}
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| ==Differentiating Myoglobinuria from Hemoglobinuria==
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| After centrifuge, the serum of myologinuria is clear, where the serum of hemoglobinuria after centrifuge is pink.
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| {{familytree/start |summary=Sample 1}}
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| {{familytree | | | | | | | | A01 |A01=Centrifuse Result}}
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| {{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }}
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| {{familytree | | | B01 | | | | | | | | B02 | | |B01=Sediment Red|B02=Supernatant Red}}
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| {{familytree | | | |!| | | | | | | | | |!| }}
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| {{familytree | | | C01 | | | | | | | | C02 | |C01=Hematuria|C02=Dipstick heme}}
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| {{familytree | | | | | | | | | |,|-|-|-|^|-|-|.| }}
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| {{familytree | | | | | | | | | G01 | | | | | G02 | G01 = '''Negative''' | G02 = '''Positive''' }}
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| {{familytree | | | | | | | | | |!| | | | | | |!|}}
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| {{familytree|boxstyle=text-align: left; | | | | | | | | | D01 | | | | | D02 |D01=❑ Beeturia <br>❑ Phenazopyridine <br> ❑ Porphyria <br> ❑ Other|D02=❑ Myoglobin <br> ❑ Hemoglobin}}
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| {{familytree | | | | | | | | | | | | | | | | |!| }}
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| {{familytree | | | | | | | | | | | | | | | | E01 |E01=Plasma color}}
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| {{familytree | | | | | | | | | | | | |,|-|-|-|^|-|-|-|.|}}
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| {{familytree | | | | | | | | | | | | H01 | | | | | | H02 | H01 = '''Clear'''| H02 = '''Red'''}}
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| {{familytree | | | | | | | | | | | | |!| | | | | | | |!|}}
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| {{familytree | | | | | | | | | | | | F01 | | | | | | F02 |F01=Myoglobinuria|F02=Hemoglobinuria}}
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| {{familytree/end}}
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| [[Category:Disease]]
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| [[Category:Blood tests]]
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| [[Category:Urine tests]]
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