12. Cocaine-Induced Rhabdomyolysis - Lab Values
The elevation of CK is impressive, but don't be fooled. Carefully
analyze the time course of CK elevation. Note the extremely high CK
levels on admission. Is this the typical pattern for acute myocardial
injury? Carefully analyze the relative amounts of CK and CK-MB. The
CK index nudges then just barely exceeds the upper limit of normal.
Is this the typical pattern for acute myocardial injury?
Answer
Pupilary dilation is one of many signs of cocaine intoxication. The
CK and the CK-MB are not the only thing "high" on admission. List the
possible sources for CK and CK-MB. Where is the CK in this patient
likely coming from?
Answer
What additional test might be useful in the evaluation of suspected
myocardial injury?
Answer
