27 Rhabdomyolysis
![](https://photos.thisispiggy.com/file/wikiFiles/HdPWSEn.jpg)
Causes
![](https://photos.thisispiggy.com/file/wikiFiles/o1hZfa6.jpg)
- elderly pt falls on floor, can't get up for hours
![](https://photos.thisispiggy.com/file/wikiFiles/JmJaUvP.jpg)
- muscle break down, muscle content spills into plasma
![](https://photos.thisispiggy.com/file/wikiFiles/w4ObXpP.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/Af5CU6i.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/Y2FPqwK.jpg)
- spilled in plasma, metabolized in liver
![](https://photos.thisispiggy.com/file/wikiFiles/lL6fAZF.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/BhZPiYh.jpg)
- myoglobin: steadily binds more and more until saturation
Pathogenesis
![](https://photos.thisispiggy.com/file/wikiFiles/dPspcz4.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/ga1svJE.jpg)
- fluid influx to muscle tissue, decrease circulation volume
Symptoms
![](https://photos.thisispiggy.com/file/wikiFiles/jbrFVL4.jpg)
Diagnosis
![](https://photos.thisispiggy.com/file/wikiFiles/MJsW1cX.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/ilLQOgy.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/bI93PrH.jpg)
- when urinalysis positive for heme, next step microscopy to see if RBC
Treatment
![](https://photos.thisispiggy.com/file/wikiFiles/SDHIBEJ.jpg)
Backlinks