Presentation
He has been the Editor in Chief, JAMA Neurology (1997- present) and a member of the Editorial Board of JAMA (1997-present). [books.google.com]
Genetic Clinical presentation Patients with genetic induced rhabdomyolysis will present with signs and symptoms of their inherited disease but will also present with secondary signs and symptoms of rhabdomyolysis. [physio-pedia.com]
Phenotype Varies in severity depending upon age of presentation and includes three main clinical presentations: 1) severe neonatal/early-childhood onset form presenting with cardiomyopathy, hepatic disease and hypotonia with high mortality in infancy, [ojrd.biomedcentral.com]
Get a quick and memorable overview of anatomy, pathophysiology, and clinical presentation from the precision and beauty of Netter and Netter-style plates that highlight key neuroanatomical and neurologic concepts. [books.google.de]
Entire Body System
- Weakness
Patients suffered generalized weakness, inability to walk, myalgia, muscle weakness, and dark urine. All patients appeared healthy in between episodes. [cags.org.ae]
[…] a·cute re·cur·rent rhab·do·my·ol·y·sis [MIM*268200] repeated paroxysmal attacks of muscle pain and weakness followed by passage of dark red-brown urine, often precipitated by intercurrent illness and diagnosed by demonstration of myoglobin in the urine [medical-dictionary.thefreedictionary.com]
[…] intoxication have also recently been implicated in the precipitation of the attacks. 16 The clinical picture of the disorder has been well described in several recent reviews. 3,5,21,35,37,44 The acute attacks are characterized by the rapid onset of muscular weakness [jamanetwork.com]
The muscle damage causes inflammation leading to tenderness, swelling, and weakness of the affected muscles. [medicinenet.com]
Symptoms of acute alcoholic myopathy may include muscle pain and swelling in addition to the classic weakness. [flipper.diff.org]
- Weight Loss
When the carbohydrate content is reduced to more normal levels, the weight gain is actually curtailed and actual weight loss can occur in the absence of any symptoms (patients 1 and 2). [jci.org]
Triggers for metabolic decompensation may also include sodium valproate therapy, weight loss, alcohol intake and febrile illness [ 57 ]. [ojrd.biomedcentral.com]
- Limb Pain
The calves and low back are the most general muscle groups that are affected. [2] According to the author Efstratiadis, back pain and limb pain are the most frequent sites in patients with rhabdomyolysis. [3] However, over 50% of the patients with rhabdomyolysis [physio-pedia.com]
Gastrointestinal
- Overeating
We have grown steadily over this time, and now have the largest germline DNA test menu of any lab in America. The quality of DNA testing at PreventionGenetics is second to none. "Getting the tests right" has always been our first priority. [preventiongenetics.com]
Jones authored and edited several other Netter publications and contributed over 200 peer-reviewed papers and book chapters. Dr. [books.google.com]
For e.g. getting trapped under fallen debris, building construction material or getting ran over by a vehicle. This type of an injury greatly damages the muscle tissue of the body. [natural-homeremedies.com]
Sequence of Laboratory Values over Time Table 1. Sequence of Laboratory Values over Time × [anesthesiology.pubs.asahq.org]
Musculoskeletal
- Myopathy
[…] of acute myopathy. [flipper.diff.org]
Recessive mutations in ANO5 (OMIM#608662) cause a wide spectrum of myopathies including LGMD2L, distal myopathy and isolated hyperCKemia. [ojrd.biomedcentral.com]
Part two then addresses the complete range of specific neuromuscular diseases: neuronopathies, peripheral neuropathies, neuromuscular junction disorders, muscle ion channel disorders, myopathies, and miscellaneous neuromuscular disorders and syndromes [books.google.com]
Myopathies such as dermatomyositis or myositis Viral or bacterial infections Metabolic conditions such as hypothyroidism and diabetic ketoacidosis [firstaidcprvictoria.ca]
[…] idiopathic) NEC - M62.82 Tabular List of Diseases and Injuries References found for the code M62.82 in the Tabular List of Diseases and Injuries: Type 1 Excludes Notes: traumatic rhabdomyolysis (T79.6) Information for Patients Muscle Disorders Also called: Myopathy [icdlist.com]
- Muscle Weakness
Patients suffered generalized weakness, inability to walk, myalgia, muscle weakness, and dark urine. All patients appeared healthy in between episodes. [cags.org.ae]
Indeed, patients with these defects have a clear decrease in their ability to generate energy in their muscle and/or heart (chronic muscle weakness, cardiomyopathy, rhabdomyolysis). [jci.org]
DEFINITION Myopathy means muscular disease, and generally refers to a disorder in which muscle weakness develops due to some malfunction of the actual muscle fibers. [flipper.diff.org]
Muscle aches and pain (myalgia), stiffness, and muscle weakness can occur with rhabdomyolysis, and is especially common with severe muscle damage. Rhabdomyolysis may cause a darkening of the urine color. [whereincity.com]
- Myalgia
Patients suffered generalized weakness, inability to walk, myalgia, muscle weakness, and dark urine. All patients appeared healthy in between episodes. [cags.org.ae]
RM and myalgia may be the dominating symptom in a few cases of LGMD2I [ 82 ]. [ojrd.biomedcentral.com]
Muscle aches and pain (myalgia), stiffness, and muscle weakness can occur with rhabdomyolysis, and is especially common with severe muscle damage. Rhabdomyolysis may cause a darkening of the urine color. [whereincity.com]
Muscle aches and pain ( myalgia ), stiffness, and muscle weakness can occur with rhabdomyolysis, and is especially common with severe muscle damage. Rhabdomyolysis may cause a darkening of the urine color. [medicinenet.com]
- Muscle Tenderness
Fatigue Nausea and vomiting Weakness Seizures Joint pain Rapid heart rate Fever Tea-colored urine Muscle tenderness and stiffness Reduced urine output Remember that there is a possibility that none of these symptoms will manifest in all cases. [firstaidcprvictoria.ca]
Haff disease typically presents as a paroxysm of rhabdomyolysis, with accompanying muscle tenderness, rigidity, and dark brown urine. However, as in patient 3, milder presentations also occur. [cdc.gov]
Physical examination of the lumbar region revealed paravertebral muscle tenderness bilaterally. Also during the second postoperative day, his abdomen became slightly distended, and oral intake was withheld because of the possibility of an ileus. [anesthesiology.pubs.asahq.org]
The three most common signs and symptoms are muscle pain, weakness, and dark urine. [2] [3] Muscle pain as well as weakness and tenderness may be general or specific to muscle groups. [physio-pedia.com]
- Muscle Cramp
Type your tag names separated by a space and hit enter Authors Source MeSH Acute Kidney Injury Adolescent Adult Age Factors Anuria Cardiovascular Diseases Child Female Gastrointestinal Diseases Humans Male Muscle Cramp Muscular Diseases Myoglobinuria [unboundmedicine.com]
cramps and RM [ 48, 49 ]. [ojrd.biomedcentral.com]
Personal or family history of recurrent muscle cramps or severe muscle pain that interferes with activities of daily living or sports performance f. [physio-pedia.com]
Psychiatrical
- Suggestibility
The authors describe two cases and suggest plans for the prevention and management of attacks. [ncbi.nlm.nih.gov]
Introduction Paroxysmal recurrent rhabdomyolysis has been suggested 5 as a diagnostic term for the syndrome of acute dissolution of striated muscle without known cause, but sometimes precipitated by physical exertion, restriction of carbohydrates in the [jamanetwork.com]
The results we obtained suggested that blood glycyrrhetmic acid levels and cortisone/cortisol ratios could be used as diagnostic indicators for pseudoaldosteromsm caused by herbal remedies containing licorice extracts. [dl.ndl.go.jp]
CT scanning of the thorax, abdomen, and pelvis demonstrated densities suggestive of calcium deposits within the pectoralis major, erector spinae, psoas minor, and iliopsoas muscles (Figure 2). [mdmag.com]
However, in VLCAD-deficient cells, the amount of [ω- 2 H 3 ]pentadecanoyl-carnitine that accumulates suggests that it is not suitable as a potential dietary substrate. [jci.org]
Neurologic
- Seizure
Burns, crush injuries, prolonged coma or seizures, medications such as the statin drugs, and marathon running can all cause rhabdomyolysis. [sharecare.com]
His seizures were presumed to be secondary to hypoglycemia. He was mechanically ventilated, and intravenous (IV) vasopressors were given for hypotension. [mdmag.com]
Weimberger Theophilline induced seizures in adults: Correlation with serum concentration Ann Intern Med, 82 (1985), pp. 784-787 Copyright © 1993. Sociedad Española de Neumología y Cirugía Torácica [archbronconeumol.org]
Fatigue Nausea and vomiting Weakness Seizures Joint pain Rapid heart rate Fever Tea-colored urine Muscle tenderness and stiffness Reduced urine output Remember that there is a possibility that none of these symptoms will manifest in all cases. [firstaidcprvictoria.ca]
[…] muscle trauma or crush injury, severe burns, physical torture or child abuse, prolonged lying down on the ground (people who fall or are unconscious and are unable to get up for several hours), prolonged coma, severe muscle contractions from prolonged seizures [whereincity.com]
- Confusion
Other Symptoms Fatigue, low urine production, confusion, arrhythmia, confusion, nausea, vomiting and low blood pressure are some of the other commonly reported symptoms of people suffering from Rhabdomyolysis. [natural-homeremedies.com]
The associated electrolyte disturbance can lead to agitation and confusion. Signs The affected muscles become swollen and tender on palpation and, occasionally, on beginning fluid therapy, due to extravasation of fluids. [patient.info]
The next day, his serum calcium concentration was 17.9 mg/dL, and the patient developed confusion. He was transferred back to the ICU, where he underwent 3 consecutive conventional hemodialysis sessions using a 2.5 mEq/L calcium dialysis solution. [mdmag.com]
This may leas to muscle pain, vommiting and confusion. [therapyteampta.forumchitchat.com]
Release of muscle components into the bloodstream causes disturbances of electrolytes, which can lead to nausea, vomiting, confusion and even coma in the most severe cases. [redalyc.org]
- Tingling
The swollen muscles exert pressure on the nerves and blood vessels whereas the myoglobin increases the impurity of the blood leading to erratic flow of blood and causes numbness and tingling sensation in those parts. [natural-homeremedies.com]
- Hyperactivity
Stimulants Used to Treat Attention Deficit Hyperactivity Disorder (ADHD). [online] Available at: https://www.fda.gov/Safety/MedWatch/SafetyInformation/ucm446139.htm [Accessed 12 Mar. 2017]. ↑ Miller M, M.D. (2017). Causes of rhabdomyolysis. [physio-pedia.com]
Urogenital
- Dark Urine
Patients suffered generalized weakness, inability to walk, myalgia, muscle weakness, and dark urine. All patients appeared healthy in between episodes. [cags.org.ae]
The dark urine color is due to myoglobin being excreted in the urine by the kidney as it tries to rid the body of the muscle breakdown products. [medicinenet.com]
Myoglobin is a dark-red, 17,8-kDa, monomeric heme protein that contains iron in its ferrous (Fe +2 ) form. [3] It is easily filtered by the glomerulus and is rapidly excreted into the urine. Plasma levels of myoglobin rapidly fall after its release. [emedicine.medscape.com]
The patient reported being in pain and that he had noticed dark colored urine 24 hours after his push up session. [physio-pedia.com]
Episodes of exercise-induced dark urine and myalgia in LGMD 2I. Acta Neurol Scand. 2012;125(4):285–7. PubMed Google Scholar Ceravolo F, Messina S, Rodolico C, Strisciuglio P, Concolino D. [ojrd.biomedcentral.com]
- Anuria
Type your tag names separated by a space and hit enter Authors Source MeSH Acute Kidney Injury Adolescent Adult Age Factors Anuria Cardiovascular Diseases Child Female Gastrointestinal Diseases Humans Male Muscle Cramp Muscular Diseases Myoglobinuria [unboundmedicine.com]
Systemic signs and symptoms of rhabdomyolysis include tea-colored urine, fever, malaise, nausea, emesis, confusion, agaitation, delirium, and anuria. [physio-pedia.com]
Workup
These differentials were kept in mind prior to ordering the workup. His laboratory data at admission are outlined in table 1. A previous renal function test was done in 2007 which showed 97.24 µmol/l serum creatinine and 4.99 mmol/l BUN. [karger.com]
Rhabdomyolysis: Differential Diagnoses and Workup. eMedicine 2009. ↑ Baxter R, Moore J. Diagnosis and Treatment of Acute Exertional Rhabdomyolysis. Journal of Orthopaedic and Sports Physical Therapy 2003; 33(3): 104-108 [physio-pedia.com]
Treatment
Part one discusses the approach to neuromuscular disorders, covering principles and basics, neuromuscular investigations, and assessment and treatment of neurological disorders. [books.google.com]
Treatment Mostly a urine test can reveal the presence of high protein level and thus confirm existence of Rhabdomyolysis. Under this section lets discuss various treatment options available. [natural-homeremedies.com]
Pharmacological treatment with amiodarone is indicated only after failure of electrical cardioversion. Many studies evaluated amiodarone for the treatment of hemodynamically unstable VT. [docplayer.net]
It is essential to seek medical treatment quickly, because if it is not treated it can result in kidney failure and muscle damage. The treatment is usually fluids and monitoring for changes in kidney function. [sharecare.com]
Current treatment of long-chain fat oxidation disorders. [jci.org]
Prognosis
Detailed discussions of PNH pathogenesis, management, and prognosis are presented separately. (See "Pathogenesis of paroxysmal nocturnal hemoglobinuria" and "Treatment and prognosis of paroxysmal nocturnal hemoglobinuria" .) [uptodate.com]
Rhabdomyolysis Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Rhabdomyolysis from other Diseases Epidemiology and Demographics Risk Factors Natural History, Complications and Prognosis [wikidoc.org]
Exactly measuring CA 19.9 concentrations >10,000 kU/L after multiple sample dilution does not add relevant information for patients’ prognosis and treatment. [sibioc.it]
What is the prognosis for rhabdomyolysis? The overall prognosis of rhabdomyolysis is favorable as long as it is recognized and treated promptly. Most causes of rhabdomyolysis reversible. [rxlist.com]
From What is the prognosis for rhabdomyolysis? The overall prognosis of rhabdomyolysis is favorable as long as it is recognized and treated promptly. Most causes of rhabdomyolysis reversible. [medicinenet.com]
Etiology
The etiology of the disorder is controversial. Proposed mechanisms include hyperparathyroidism, increased 1,25-dihydroxyvitamin D levels, and mobilization of calcium from soft-tissue deposits. [mdmag.com]
The first two etiologies were deemed most likely because of the abrupt nature and timing of his rhabdomyolysis. Moreover, the other etiologies occur rarely. [anesthesiology.pubs.asahq.org]
Evaluation of asymptomatic microscopic hematuria in adults: the American Urological Association best practice policy—part I: definition, detection, prevalence, and etiology. [citeseerx.ist.psu.edu]
Rhabdomyolysis: a review of clinical presentation, etiology, diagnosis, and management. Pediatr Emerg Care. 2008 Apr. 24(4):262-8. [Medline]. Lima RS, da Silva Junior GB, Liborio AB, Daher Ede F. Acute kidney injury due to rhabdomyolysis. [emedicine.medscape.com]
Although the etiology was not determined, epidemiologic investigations linked illness to ingestion of fish, especially burbot. The first reported case of Haff disease in the United States occurred in Texas in 1984 (M. [cdc.gov]
Epidemiology
Rhabdomyolysis Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Rhabdomyolysis from other Diseases Epidemiology and Demographics Risk Factors Natural History, Complications and [wikidoc.org]
EPIDEMIOLOGY PNH is a rare disorder. [uptodate.com]
Foodborne and Diarrheal Diseases Br, Div of Bacterial and Mycotic Diseases, National Center for Infectious Diseases; Div of Applied Public Health Training, Epidemiology Program Office; and an EIS Officer, CDC. [cdc.gov]
Epidemiology Incidence figures are not available for the general population, but screening of 337 military recruits for myoglobin serum levels, showed rhabdomyolysis in 40%. [ 6 ] It is more common in men, particularly well-educated professionals, who [patient.info]
He then did Masters in Science from the Department of Epidemiology at the Medical College of Wisconsin. [karger.com]
Pathophysiology
Get a quick and memorable overview of anatomy, pathophysiology, and clinical presentation from the precision and beauty of Netter and Netter-style plates that highlight key neuroanatomical and neurologic concepts. [books.google.de]
Rhabdomyolysis Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Rhabdomyolysis from other Diseases Epidemiology and Demographics Risk Factors Natural History, Complications and [wikidoc.org]
The Gale Encyclopedia of Public Health states, 2002 - Alcoholic cardiomyopathy: incidence, clinical characteristics, and pathophysiology, Piano MR., 2002 SYMPTOMS Alcoholic myopathy can have serious symptoms and side effects. [flipper.diff.org]
The syndrome of rhabdomyolysis: Pathophysiology and diagnosis. Eur J Intern Med. 2007 Mar. 18(2):90-100. [Medline]. Kilfoyle D, Hutchinson D, Potter H, George P. [emedicine.medscape.com]
However, it may provide pathophysiologic clues to the molecular mechanism of kidney injury and the role of free haeme-containing molecules. [academic.oup.com]
Prevention
Secondary Prevention Cost-Effectiveness of Therapy Future or Investigational Therapies Case Studies Case #1 Rhabdomyolysis On the Web Most recent articles Most cited articles Review articles CME Programs Powerpoint slides Images American Roentgen Ray [wikidoc.org]
The authors describe two cases and suggest plans for the prevention and management of attacks. [ncbi.nlm.nih.gov]
Summary Rhabdomyolysis is found among people with Paroxysmal nocturnal haemoglobinuria, especially for people who are male, 60+ old, take medication Soliris and have Preventive health care. [ehealthme.com]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.de]
Prevention is obviously the best way to limit the serious outcomes of this condition. Hydrating well, before, during and after the workout is one way to lower your risk. [healthcentral.com]