27 Rhabdomyolysis

Causes

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

  • muscle break down, muscle content spills into plasma

  • spilled in plasma, metabolized in liver

  • myoglobin: steadily binds more and more until saturation

Pathogenesis

  • fluid influx to muscle tissue, decrease circulation volume

Symptoms

Diagnosis

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

Treatment