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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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viernes, 11 de enero de 2013

Rabdomiolisis

 
Rhabdomyolysis Evaluation and Emergent Management
Desal B. in emedmag.com - January 2012
"Timely diagnosis and treatment of rhabdomyolysis can save lives and limbs, as well as preserve renal function. This article delineates causes and features of the syndrome and summarizes evaluation and management considerations.
FAST TRACK:
  • Acute rhabdomyolysis is seen in almost one-fourth of patients presenting to the emergency department with cocaine-associated disorders.
  • The classic triad should not be relied upon to diagnose rhabdomyolysis, as these features are seen in only 10% of patients presenting with the condition.
  • Grossly visible myoglobinuria does not manifest until at least 100 g of muscle is destroyed; thus, early measurement of serum and urine myoglobin is essential."