Author/Editor		Kovačič, Ladislav; Lindič, Jelka; Kovač, Damjan
Title		Obravnava bolnika z akutno ledvično odpovedjo ob rabdomiolizi po fizičnem naporu
Translated title		Assessment of the patient with acute renal failure due to exercise-induced rhabdomyolysis - case report
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. 1
Publication year		2000
Volume		str. 95-106
Language		slo
Abstract		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 serum and 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 presented.
Summary		V 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 pomen analize 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 tubularno nekrozo. V nadaljevanju so predstavljene značilnosti rabdomiolize s poudarkom na rabdomiolizi po fizičnem naporu.
Descriptors		KIDNEY FAILURE, ACUTE RHABDOMYOLYSIS EXERTION ADULT HEMOGLOBINURIA URINALYSIS BIOLOGICAL MARKERS UREMIA NEPHRITIS, INTERSTITIAL GLOMERULONEPHRITIS URETHRAL OBSTRUCTION URETERAL OBSTRUCTION CREATININE UREA