Rhabdomyolysis laboratory findings: Difference between revisions
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Esther Lee (talk | contribs) Created page with "__NOTOC__ {{Rhabdomyolysis}} {{CMG}} ==Overview== ==Laboratory Findings== * '''Urinalysis''' *:* Blood (+) *:* No red blood cells on microscopy. This situation is either h..." |
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{{Rhabdomyolysis}} | {{Rhabdomyolysis}} | ||
{{CMG}} | {{CMG}} | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Nephrology]] | [[Category:Nephrology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs overview]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 17:22, 25 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Laboratory Findings
- Urinalysis
- Blood (+)
- No red blood cells on microscopy. This situation is either hemoglobin in the urine or myoglobin. The serum will be pink with hemoglobinuria.
- Serum Markers
- Elevated serum creatinine kinase
- CK elevation: Generally accepted >5 times normal. Corresponds to about 200g of muscle.
- Begins to rise 2-12 hrs after onset. Peaks 1-3 days in. Declines 3-5 days after the process stops.
- Myoglobin
- Myoglobin: Starts earlier than CK but clears faster, so serum and urine myoglobin useful early in course of the disease. Myoglobin is eventually urinated and/or converted to bilirubin.
- All myoglobinuria is caused by rhabdomyolysis, but not all rhabdomyolysis causes myoglobinuria. Urine changes color when >1mg/ml.
- LDH (lactic dehydrogenase)
- Elevated serum creatinine kinase