Geris

Question 1

Rhabdomyolysis results in … (x2 things)

Answer 1

AKI
Electrolyte distubrances (e.g. hyperkalaemia)

Question 2

causes of rhabdomyolysis

Answer 2

crush injuries, prolonged immobiilisation,
extreme exertion (eg status eilepticus), infection, muscular dystrophy, electrical high voltage burns

Question 3

s&s of rhabdomyolysis

Answer 3

myalgia, muscle oedema, evidence of trauma, tea-coloured urine (myoglobinuria)

Question 4

rhabdomyalsis. what are the relevant bedside investigations and findings ? (x3)

Answer 4

• Urinalysis: myoglobinuria
• ECG: life-threatening complications, e.g. hyperkalaemia.
• ABG/VBG: metabolic acidosis with a raised anion gap.

Question 5

rhabdomyalsis - relevant lab investifations and findings (x4) 1

Answer 5

• Serum CK: essential >5x normal limits.
• U&E: AKI and identify hyperkalaemia.
• LFTs: elevated transaminases (AST/ALT - non-specific marker of muscle injury).
• Bone profile: hyperphosphatemia and hypocalcemia (hypocalcemia - myocyte necrosis is associated with significant calcium influx to the cell).

Question 6

Rhabdomyalysis Mx

Answer 6

Mainly: IV fluids

monitor & treat complications e.g. hyperkalaemia.

Question 7

what score is used to assess risk of a pressure ulcer

Answer 7

waterlow score

Question 8

MMSE gives a score of 30 , what do the following indicate
24-30
18-23
0-17

Answer 8

24-30 - no cognitive impairment
18-23 - mild cognitive impairment
0-17 - severe cognitive impairment