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Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
oxidative iniury Treatment ... hour with goal urine ... hyperkalemia or ATN ... Summary #causes #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Weakness - Dark urine ... oxidative injury Treatment ... Treatment of underlying ... hour with goal urine ... hyperkalemia or ATN
Urinary Casts in the setting of renal disease
#Clinical #Nephro #Urine #Microscopy #Casts #Comparison #Chart #ATN #AIN
Clinical #Nephro #Urine ... Comparison #Chart #ATN
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Sodium (FENa) = (Urine ... / (Serum Na+ x Urine ... > 2% suggests ATN
Urine Specific Gravity - Interpretation
Specific Gravity = Density of urine / Density of water
SG close to
Urine Specific Gravity ... Gravity = Density of urine ... resistance to ADH) • ATN ... EricsMedicalLectures/ #Urine
Muddy Brown Casts in ATN
#Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Brown Casts in ATN ... #Path #Nephro #Urine ... MuddyBrownCasts #ATN
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... exclusively on urine ... determined heating urine ... differences in urine ... Tubular Necrosis (ATN
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency
 • Increased osmotic load (Increased
load (Increased urine ... to concentrate urine ... (usually low urine ... Recovery phase of ATN ... Increased intake (low urine
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
UOP/weights - Urine ... Liano 1996) - ATN ... CKD— 13% (mostly ATN
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal Urine ... Diagnosis Turbid White Urine ... listed under green urine ... * Green Urine: ... : • Purple Urine