Shattered

Renal & Urinary System


Step 1: View Clinicals

{"ops":[{"insert":"A 41 year old man presents with diffuse abdominal pain, generalized myalgia, and dark urine for 2 days. He did not experience dysuria, frequency or urgency.\n\nThere is no history of recent trauma, NSAID use, recreational drug abuse, or travel to a foreign country.\n\nHis medical history is significant for HIV infection for 2 years, for which he is on ritonavir-boosted atazanavir, tenofovir and emtricitabine. He was tested in this regard 1 week ago, and found have a CD4 count of 450 cells\/mm3 with consistent viral suppression.\n\nHe was also diagnosed with dyslipidemia 1 month ago, and after poor control with diet alone, started on simvastatin 20 mg daily.\n\nHe does not smoke and only drinks socially. A full blood count is found to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-071_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Serum CPK + Myoglobin
2. Serum Electrolytes

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