141 KB46 KB199420252000Kovač, DamjanKovačič, LadislavLindič, Jelkaštevilka:1letnik:39str. 95-106ISSN:0025-8121COBISSID:11475673URN:URN:NBN:SI:doc-MRYN3E8YslMedicinski razglediMedicinski razglediAdultakutna odpovedBiological markersCreatinineDiagnosisdiagnostikaEtiologyExertionGlomerulonephritisHemoglobinuriaKidney failure, acuteledvicenaporNephritis, interstitialrabdomiolizaRhabdomyolysisTherapyUreaUremiaUreteral obstructionUrethral obstructionUrinalysiszdravljenjeObravnava bolnika z akutno ledvično odpovedjo ob randomiolizi po fizičnem naporu| Assessment of the patient with acute renal failure due to exercise-induced rhabdomyolysis - case report|The paper reports on a patient who developed acute renal failure as a result of myoglobinuria due to rhabdomyolysis induced by intense physical exertion. The authors present the assessment of patients with acute renal failure, placing special emphasis on urinalysis and biochemical analysis of blood serumand urine used for the determination of various ratios and diagnostic indices. These may help the clinician differentiate between prerenal azotemia and acute tubular necrosis, the most frequent forms of acute renal failure. Next, the characteristic features of rhabdomyolysis, particularly of exertional rhabdomyolysis, are presentedV prispevku je opisan primer bolnika z akutno ledvično odpovedjo zaradi mioglobinurije, ki se je razvila ob rabdomiolizi po fizičnem naporu. Predstavljen je pristop k bolniku z akutno ledvično odpovedjo, poudarjen pomenanalize seča in biokemičnih preiskav seruma in seča, iz katerih izračunamo diagnostične kazalce. Z njimi ločimo med dvema najpogostejšima vrstama akutne ledvične odpovedi, med prerenalno azotemijo in akutno tubularnonekrozo. V nadaljevanju so predstavljene značilnosti rabdomiolize s poudarkom na rabdomiolizi po fizičnem naporuTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo Medicinski razgledi