Ongoing muscle aches-myalgia-stiffness

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This 78-year-old male returns to the office today to follow-up on diagnostic testing completed due to his ongoing muscle aches, myalgia, stiffness, and muscle weakness. Laboratory testing: Urinalysis was positive for hemoglobin. The urine myoglobin test and serum myoglobin test were both positive. The serum CPK value was high. Following these values additional testing was completed that confirmed elevated muscle enzymes in the blood. Because of these findings a diagnosis of rhabdomyolysis was confirmed. Plan: I discussed with the patient the need for a short inpatient stay to start IV hydration, and diuretics and to monitor lab values. The patient agreed and will be admitted today.

Reference no: EM133586629

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