Group 2 STATIN INDUCED RHABDOMYOLYSIS INTRODUCTION
Case Presentation
The following is based on the assigned case with a dx of statin induced rhabdomyolysis:
Chief Complaint: pain and weakness in the legs
History of present illness: Development of “generalized pain, tingling, and weakness on both legs” with onset occurring in the previous 6 days. Patient states unable to ambulate this morning. Patient endorses difficulty urinating and “strong and dark” urine upon urination. Patient denies any “fever, chills, HA, chest pain, respiratory sx, n/v, or bladder changes”
Present medical hx:
Patient endorses the following medical dx:
BPH
CKD
Diabetes
Dyslipidemia
HTN
Hypothyroidism
DIFFERENTIAL …show more content…
It was these lab results that helped lead the doctors to a diagnosis of statin-induced rhabdomyolysis. While some the lab tests resulted in measurements outside of the normal range, others did not indicate a problem and these latter tests were equally important in reaching a diagnosis. Sodium – The sodium levels of patients is tested in order to detect abnormal amounts of sodium in the blood. This is important because sodium is present in all body fluids and plays an important role in nerve and muscle function. Sodium promotes the healthy functioning of cells and it also aids in regulating the amount of fluids in the body. This patient had normal levels of sodium. Potassium – Potassium is another electrolyte in the body and it is vital to metabolism. It is involved in the transport of nutrients into cells and also aids in the removal of waste out of the cells. In the body, it plays an important role in nerves, muscles, and heart function. This patient has high levels of potassium, and this can be indicative of several things, including kidney disease, diabetes, and the consumption of ACE inhibitors (such as lisinopril), all of which is known to apply to this