Question

a 25 year old Caucasian male sees his primary care physician complaining of exhaustion. His blood pressure was 110/68. He is 6 ft tall and weighs 150 pounds. He runs about 5 miles daily and eats a 1700 calorie vegetarian diet. His lab results show an increase in Creatine Kinase levels and a slight decrease of lactate dehydrogenase. His urine shows no sign of protein, it is almost clear, no precipitate. Urine does contain chloride and sodium. glucose levels are normal. below is a graph of CK and LD levels as well as a urine sample labeled as '' P '' would the diagnosis be RHABDOMYOLYSIS or DEHYDRATION ?

Photos CK BOTH.PNG Photos LD BOTH.PNG Photos-IMG 1389.jpg LD ENZYME WITH POSITIVE SAMPLE & PATIENT #3 CK ENZYME POSITIVE SAMPLE & PATIENT #3 y-71.230 2000 -139 48x-52898 -63.085 20037 y. 44.604-159.32 _ Linear 0 Linear _ Unear Unear

Answer 1

Rising Creatinine kinase levels indicate the presence of rhabdomylosis, as it is one of the best indicator for determining the presence of rhabdomylosis. The enzyme is released by damaged muscle and levels about 100U/L inficate egg he presence of it. So it is rhzbdomylodis. The colour of the urine is not that dark as to be dehydrated.