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Rhabdomyolysis, Pediatric

Erica Winnicki, MD and Farzana Perwad, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Rhabdomyolysis is defined as skeletal muscle breakdown resulting from injury.

  • Injury may result from many causes including trauma, infection, medications, or inherited disorders.

  • Class...

DIAGNOSIS

HISTORY

  • Prior history of any illness or insult associated with rhabdomyolysis should be sought. Rhabdomyolysis may follow infections (e.g., influenza), insults (e.g., crush injury, severe exe...

TREATMENT

Aggressive repletion of fluids should be initiated promptly. If an underlying cause is identified, it should be corrected or removed. 

GENERAL MEASURES

  • Early fluid resuscitation is essential t...

ONGOING CARE

Close monitoring of labs with serial measurements of CK levels, creatinine, and electrolytes is essential. The patient’s fluid status should be monitored closely, and volume repletion sho...

ADDITIONAL READING

  • Bosch X, Poch E, Grau J. Rhabdomyolysis and acute kidney injury. N Engl J Med.  2009;361(1):62–72. [View Abstract on OvidInsights]

  • Elsayed EF, Reilly RF. Rhabdomyolysis: a revie...

CODES

ICD9

  • 728.88 Rhabdomyolysis

  • 958.5 Traumatic anuria

ICD10

  • M62.82 Rhabdomyolysis

  • T79.5XXA Traumatic anuria, initial encounter

SNOMED

  • 240131006 Rhabdomyolysis (disorder)

  • 240125008 Muscle crush syndrome (dis...

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