Soft Tissue Case 10 History/Physical Exam

Rhabdomyolysis classically presents as myalgias or stiffness, weakness, and dark urine. These symptoms may not all be present.

Severe cases may present with malaise, fever, tachycardia, nausea, vomiting, abdominal pain, and mental status changes due to urea-induced encephalopathy from acute kidney injury.

On physical exam muscle tenderness, diffuse weakness, and swelling may be appreciated, although swelling is typically seen after aggressive treatment with fluids.