Rhabdomyolysis

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Male urinary system

• Abnormal urine color (dark, red, or cola colored)
• Muscle tenderness
• Weakness of the affected muscle(s)
• Generalized weakness
• Muscle stiffness or aching (myalgia)

• Weight gain (unintentional)
• Seizures
• Joint pain
• Fatigue

An examination reveals tender or damaged skeletal muscles.

• A urinalysis may reveal casts and be positive for hemoglobin without evidence of red blood cells on microscopic examination.
• A urine myoglobin test is positive.
• A serum myoglobin test is positive.
• A CPK is very high.
• A serum potassium may be very high (potassium is released from cells into the bloodstream when there is cell breakdown).

• Urine creatinine
• Serum creatinine
• CPK isoenzymes

Review Date: 09/13/2005
Reviewed By: Robert Mushnick, M.D., Clinical Assistant Professor, SUNY Downstate Health Center, Brooklyn, NY. Review provided by VeriMed Healthcare Network.