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clinical diagnosis pocus differential msk physicalexam orthopedics causes neurology rhabdomyolysis hematoma liver management nsfw fast positive treatment ck electrical electrocution
Causes of Rhabdomyolysis - Differential Diagnosis • Drugs & Toxins (Statins, alcohol, cocaine) • Direct Muscle
cocaine) • Direct Muscle ... Damage (Trauma/ ... crush injury, burns ... exercise) • Muscle ... • Inflammatory Muscle
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
, CMV, VZV • Trauma ... > 1 • Acute muscle ... Chronic muscle ... , cardiac muscle ... , cardiac muscle
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis: • Trauma ... symptoms: - Muscle ... - Malaise - Muscle ... suspect continued muscle ... muscles - HYPOTENSION
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Management Summary Trauma ... syndrome, Electrical injury ... exhaustion, Heat iniury ... extracellular fluid into injured ... muscles -> HYPOTENSION
RHABDOMYOLYSIS • Characterized by skeletal muscle breakdown & necrosis. • Elevated Creatine kinase (CK) hallmark of rhabdomyolysis. • Defined based
Characterized by skeletal muscle ... useful marker of muscle ... injury ... Rhabdomyolysis #trauma
Traumatic Splenic Hematoma on LUQ FAST Exam 31 yo M. Minor blunt trauma from bicycle accident. No
Minor blunt trauma ... No obvious injury ... Exam #Clinical #Ultrasound ... #Trauma #POCUS
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 Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Transverse Myelitis, Trauma ... Phrenic nerve injury ... aminoglycosides) • Muscles
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
pseudogout • Trauma ... Lyme disease Muscle ... Repetitive strain injury ... Red Flags: • Trauma ... • Crush injury
Creatine Kinase - Causes of Elevated CK Levels Acute CK Elevation (Pain > Weakness): • RHABDOMYOLYSIS
- Seizures: Trauma ... infarction, Acute renal injury ... ): • PROXIMAL MUSCLE
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework LDH is a cytoplasmic enzyme present in tissues throughout
concentrations in: RBCs, muscle ... injuries Hepatic Injury ... Hepatocellular Injury ... infarction Muscle ... Demand ischemia • Trauma
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