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Medical Forum / General / Alternative / July 2008Bang On My Drum
Published ahead of print on April 23, 2008 Clin J Am Soc Nephrol 3: 1022-1027, 2008 (c) 2008 American Society of Nephrology doi: 10.2215/CJN.04491007 -------------------------------------------------------------------------------- Clinical Nephrology Rust Urine after Intense Hand Drumming Is Caused by Extracorpuscular Hemolysis Diego Tobal*, Alicia Olascoaga, Gabriela Moreira, Melania Kurdián*, Fernanda Sanchez, Maria Roselló*, Walter Alallón, Francisco Gonzalez Martinez*, and Oscar Noboa*, * Centro de Nefrología, Laboratorio Clínico, Departamento de Fisiopatología, Hospital de Clínicas, Facultad de Medicina Universidad de la República, Montevideo, Uruguay Correspondence: Dr. Oscar Noboa, Depto de Fisiopatología Hospital de Clinicas, Avda Italia s/n 11609, Montevideo, Uruguay. Phone/Fax: 5982-4809850; E-mail: onoboa@hc.edu.uy Background and objectives: During Carnival, groups of 60 drummers go drumming with their hands and marching for periods of 2 to 4 h. The objective of this study was to determine the frequency and type of urinary abnormalities after candombe drumming and to evaluate possible pathogenic mechanisms. Design, setting, participants, & measurements: For analysis of pathogenic mechanisms, a group of individuals were prospectively evaluated before and after candombe drumming. Methods: Candombe drummers were recruited in January 2006, 1 wk before prolonged drumming. After clinical evaluation, urine and blood samples were obtained before and immediately after drumming. Results: Forty-five healthy individuals (four women and 41 men), median age 31 yr (14 to 56), were evaluated. Predrumming urine and plasma samples were obtained for 30 individuals. Nineteen (42%) of 45 had a previous history of rust urine emission temporally related with candombe drumming. After drumming, 18 of 26 showed urine abnormalities; six of 26 showed rust urine, eight of 26 had microhematuria, and seven of 26 had proteinuria >1 g/L. The candombe drummers who showed rust urine after heavy drumming presented significantly higher levels of lactate dehydrogenase and total bilirubin when compared with those without urine abnormalities. Haptoglobin was significantly lower in the rust urine group. Fragmented red cells were observed in the blood smear of individuals with rust urine. Rust urine after drumming was associated with previous episodes of rust urine and glucosuria. Conclusions: Taken together, these data confirm that rust urine is caused by extracorpuscular hemolysis. -------------------------------- Med Sci Monit. 2008 Jan;14(1):CS1-4. Links Myoglobinuria caused by exertional rhabdomyolysis misdiagnosed as psychiatric illness. Banasik M, Kuźniar J, Kusztal M, Porazko T, Weyde W, Klinger M. Department of Nephrology and Transplantation Medicine, Wrocław Medical University, Wrocław, Poland. m.banasik@interia.pl BACKGROUND: Rhabdomyolysis is severe and acute skeletal muscle damage resulting in sarcolemma disruption. During injury, intracellular muscle contents are released into the plasma. The consequences may cause hypovolemia, electrolyte abnormalities, compartment syndrome, or even acute renal failure and dialysis. CASE REPORT: We present the history of a patient in whom exertional rhabdomyolysis was misdiagnosed. A 20-year-old male police recruit was admitted to a psychiatric hospital because of complaints about black urine and severe thigh pain. Serum creatinine kinase (CK) was significantly elevated at 87,335 U/ l. Urinalysis showed brown color and cloudiness. Serum myoglobin was also significantly increased. Aspartate aminotransferase was elevated as was alanine aminotransferase. Immediate intravascular fluid hydration and hospital rest under renal, metabolic, and hematological monitoring was performed. CONCLUSIONS: Gymnastic teachers and people at environmental risk of rhabdomyolysis, such as members of the armed forces, police, and supervisors of physical laborers, need to remember the risks of intensive and repetitive exercise. Symptoms such as dark urine, myalgia, and muscle weakness should immediately arouse suspicion of rhabdomyolysis. Especially dark-colored urine should always be investigated for the occurrence of rhabdomyolysis. PMID: 18172418 [PubMed - indexed for MEDLINE] Who loves ya. Tom Jesus Was A Vegetarian! http://tinyurl.com/2r2nkh Man Is A Herbivore! http://tinyurl.com/4rq595 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk Rhabdomyolysis << Deduction using reason .. logic .. science. Rhabdomyolysis is caused by exercise. Exercise causes hemolysis. Snake venom causes Rhabdomyolysis. Snake venom causes hemolysis. Hemolysis Causes Rust Urine Rhabdomyolysis Causes Rust Urine Voila .. http://members.tripod.com/~baggas/rhabdo.html Who loves ya. Tom Jesus Was A Vegetarian! http://tinyurl.com/2r2nkh Man Is A Herbivore! http://tinyurl.com/4rq595 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk By > Published ahead of print on April 23, 2008 > Clin J Am Soc Nephrol 3: 1022-1027, 2008 > (c) 2008 American Society of Nephrology [quoted text clipped - 93 lines] > > DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk Obviously "Rust Urine" is a specific regional medical idiom and not a universal clinical term used in medicine. Doing a search on the term finds only the article mentioned. So what is it and why does mr. justice piss his pants to find it? It means kidny damage and the passing of red blood cells because of it which causes red-brown urine, so says the full article. Why piss his pants? Because he imagines "rust" forming in the blood from excess iron intake as a common process. This does not happen. The iron notion is dead as a dodo as has been demonstrated many times. The only clinical evidence of "rust" in the body is the obsessive compulsive paranoid fear of it. Jesus ate a mediterranean diet. On Jul 16, 9:06 am, ferr...@ironcity.com wrote: snip << Dedeuce .. something .. again .. I rather enjoyed it .. How about this .. try your deductive .. skills .. What color is blood. What color is your urine if there is blood in it. What color is your urine if you have Rhabdomyolysis. What color is your urine if there is hemolysis. What color is your urine if you bang your drum all .. day .. long. What does banging your drum cause. What color is your urine when you are snake bit. What does snake bit cause. What kind of snake bit ya. Was it a big snake. What color was the snake. Are YOU .. a .. snake .. ? Heh .. heh .. Fell pretty good for that one .. didn't ya .. ya schizo .. Who loves ya. Tom Jesus Was A Vegetarian! http://tinyurl.com/2r2nkh Man Is A Herbivore! http://tinyurl.com/4rq595 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk What color is your urine when you have a severe beating. What color is your urine when . > Obviously "Rust Urine" is a specific regional medical idiom and not a > universal clinical term used in medicine. Doing a search on the term [quoted text clipped - 12 lines] > > Jesus ate a mediterranean diet. "Dedeuce .. something .. again .." Ok, since you ask so nicely here it is again: Obviously "Rust Urine" is a specific regional medical idiom and not a universal clinical term used in medicine. Doing a search on the term finds only the article mentioned. So what is it and why does mr. justice piss his pants to find it? It means kidny damage and the passing of red blood cells because of it which causes red-brown urine, so says the full article. Why piss his pants? Because he imagines "rust" forming in the blood from excess iron intake as a common process. This does not happen. The iron notion is dead as a dodo as has been demonstrated many times. The only clinical evidence of "rust" in the body is the obsessive compulsive paranoid fear of it. Jesus ate a mediterranean diet. On Jul 16, 11:09 am, ferr...@ironcity.com wrote: "Dedeuce .. something .. again .." << Ok, since you ask so nicely here it is again: You didn't dedeuce .. nothing .. I can't see what .. you .. dedeuced .. Maybe you should put in brackets THAT which you have dedeuced .. I cannot find it .. Point it out .. Follow my lead .. Make sure you dooo .. because you are learning from the .. best .. Deduction using reason .. logic .. science. ------------------------ Rhabdomyolysis is caused by exercise. Exercise causes hemolysis. Snake venom causes Rhabdomyolysis. Snake venom causes hemolysis. Hemolysis Causes Rust Urine Rhabdomyolysis Causes Rust Urine Voila .. http://members.tripod.com/~baggas/rhabdo.html -------------------- Who loves ya. Tom Jesus Was A Vegetarian! http://tinyurl.com/2r2nkh Man Is A Herbivore! http://tinyurl.com/4rq595 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk Recall "rust urine" referes to the color it reminds the authors of, it does not refer to the blood content from internal tissue damage which results in passing blood in urine, not forming "rust". Which makes all the examples of internal tissue damage below jibberish, only more of [reasoning] mistaken for logic and what was really said and not what was imagined: "Rhabdomyolysis is caused by exercise. Exercise causes hemolysis. Snake venom causes Rhabdomyolysis. Snake venom causes hemolysis. Hemolysis Causes Rust Urine Rhabdomyolysis Causes Rust Urine" Low iron causes cognitive deficits, mental "rust". Jesus ate a mediterranean diet. On Jul 16, 3:29 pm, ferr...@ironcity.com wrote: snip << You may think in your mind you have something to .. add .. but evidentally .. you don't .. Published ahead of print on April 23, 2008 Clin J Am Soc Nephrol 3: 1022-1027, 2008 (c) 2008 American Society of Nephrology doi: 10.2215/CJN.04491007 -------------------------------------------------------------------------------- Clinical Nephrology Rust Urine after Intense Hand Drumming Is Caused by Extracorpuscular Hemolysis Diego Tobal*, Alicia Olascoaga, Gabriela Moreira, Melania Kurdián*, Fernanda Sanchez, Maria Roselló*, Walter Alallón, Francisco Gonzalez Martinez*, and Oscar Noboa*, * Centro de Nefrología, Laboratorio Clínico, Departamento de Fisiopatología, Hospital de Clínicas, Facultad de Medicina Universidad de la República, Montevideo, Uruguay Correspondence: Dr. Oscar Noboa, Depto de Fisiopatología Hospital de Clinicas, Avda Italia s/n 11609, Montevideo, Uruguay. Phone/Fax: 5982-4809850; E-mail: ono...@hc.edu.uy Background and objectives: During Carnival, groups of 60 drummers go drumming with their hands and marching for periods of 2 to 4 h. The objective of this study was to determine the frequency and type of urinary abnormalities after candombe drumming and to evaluate possible pathogenic mechanisms. Design, setting, participants, & measurements: For analysis of pathogenic mechanisms, a group of individuals were prospectively evaluated before and after candombe drumming. Methods: Candombe drummers were recruited in January 2006, 1 wk before prolonged drumming. After clinical evaluation, urine and blood samples were obtained before and immediately after drumming. Results: Forty-five healthy individuals (four women and 41 men), median age 31 yr (14 to 56), were evaluated. Predrumming urine and plasma samples were obtained for 30 individuals. Nineteen (42%) of 45 had a previous history of rust urine emission temporally related with candombe drumming. After drumming, 18 of 26 showed urine abnormalities; six of 26 showed rust urine, eight of 26 had microhematuria, and seven of 26 had proteinuria >1 g/L. The candombe drummers who showed rust urine after heavy drumming presented significantly higher levels of lactate dehydrogenase and total bilirubin when compared with those without urine abnormalities. Haptoglobin was significantly lower in the rust urine group. Fragmented red cells were observed in the blood smear of individuals with rust urine. Rust urine after drumming was associated with previous episodes of rust urine and glucosuria. Conclusions: Taken together, these data confirm that rust urine is caused by extracorpuscular hemolysis. -------------------------------- Med Sci Monit. 2008 Jan;14(1):CS1-4. Links Myoglobinuria caused by exertional rhabdomyolysis misdiagnosed as psychiatric illness. Banasik M, Ku¼niar J, Kusztal M, Porazko T, Weyde W, Klinger M. Department of Nephrology and Transplantation Medicine, Wroc³aw Medical University, Wroc³aw, Poland. m.bana...@interia.pl BACKGROUND: Rhabdomyolysis is severe and acute skeletal muscle damage resulting in sarcolemma disruption. During injury, intracellular muscle contents are released into the plasma. The consequences may cause hypovolemia, electrolyte abnormalities, compartment syndrome, or even acute renal failure and dialysis. CASE REPORT: We present the history of a patient in whom exertional rhabdomyolysis was misdiagnosed. A 20-year-old male police recruit was admitted to a psychiatric hospital because of complaints about black urine and severe thigh pain. Serum creatinine kinase (CK) was significantly elevated at 87,335 U/ l. Urinalysis showed brown color and cloudiness. Serum myoglobin was also significantly increased. Aspartate aminotransferase was elevated as was alanine aminotransferase. Immediate intravascular fluid hydration and hospital rest under renal, metabolic, and hematological monitoring was performed. CONCLUSIONS: Gymnastic teachers and people at environmental risk of rhabdomyolysis, such as members of the armed forces, police, and supervisors of physical laborers, need to remember the risks of intensive and repetitive exercise. Symptoms such as dark urine, myalgia, and muscle weakness should immediately arouse suspicion of rhabdomyolysis. Especially dark-colored urine should always be investigated for the occurrence of rhabdomyolysis. PMID: 18172418 [PubMed - indexed for MEDLINE] ----------------------- Deduction using reason .. logic .. science. Rhabdomyolysis is caused by exercise. Exercise causes hemolysis. Snake venom causes Rhabdomyolysis. Snake venom causes hemolysis. Hemolysis Causes Rust Urine Rhabdomyolysis Causes Rust Urine Voila .. http://members.tripod.com/~baggas/rhabdo.html Who loves ya. Tom Jesus Was A Vegetarian! http://tinyurl.com/2r2nkh Man Is A Herbivore! http://tinyurl.com/4rq595 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk "You may think in your mind you have something to .. add .. but evidentally .. you don't .." I have nothing to add beyond what the authors say they mean in the full article by "rust urine",ie. reddish-brown blood found in urine from internal tissue damage from physical exertion. It is a color descriptive analogy not a reference to anything whatsoever having to do with "rust" as in oxidized iron. Doctors say "tarry feces" which does not mean an internal oil leak and they say "milky urine" not having to do with product of a cow. Get over it, you didn't understand this one either. Jesus ate a mediterranean diet. On Jul 16, 4:12 pm, ferr...@ironcity.com wrote:snip << You may think in your mind you have something to .. add .. but evidentally .. you don't .. Published ahead of print on April 23, 2008 Clin J Am Soc Nephrol 3: 1022-1027, 2008 (c) 2008 American Society of Nephrology doi: 10.2215/CJN.04491007 -------------------------------------------------------------------------------- Clinical Nephrology Rust Urine after Intense Hand Drumming Is Caused by Extracorpuscular Hemolysis Diego Tobal*, Alicia Olascoaga, Gabriela Moreira, Melania Kurdián*, Fernanda Sanchez, Maria Roselló*, Walter Alallón, Francisco Gonzalez Martinez*, and Oscar Noboa*, * Centro de Nefrología, Laboratorio Clínico, Departamento de Fisiopatología, Hospital de Clínicas, Facultad de Medicina Universidad de la República, Montevideo, Uruguay Correspondence: Dr. Oscar Noboa, Depto de Fisiopatología Hospital de Clinicas, Avda Italia s/n 11609, Montevideo, Uruguay. Phone/Fax: 5982-4809850; E-mail: ono...@hc.edu.uy Background and objectives: During Carnival, groups of 60 drummers go drumming with their hands and marching for periods of 2 to 4 h. The objective of this study was to determine the frequency and type of urinary abnormalities after candombe drumming and to evaluate possible pathogenic mechanisms. Design, setting, participants, & measurements: For analysis of pathogenic mechanisms, a group of individuals were prospectively evaluated before and after candombe drumming. Methods: Candombe drummers were recruited in January 2006, 1 wk before prolonged drumming. After clinical evaluation, urine and blood samples were obtained before and immediately after drumming. Results: Forty-five healthy individuals (four women and 41 men), median age 31 yr (14 to 56), were evaluated. Predrumming urine and plasma samples were obtained for 30 individuals. Nineteen (42%) of 45 had a previous history of rust urine emission temporally related with candombe drumming. After drumming, 18 of 26 showed urine abnormalities; six of 26 showed rust urine, eight of 26 had microhematuria, and seven of 26 had proteinuria >1 g/L. The candombe drummers who showed rust urine after heavy drumming presented significantly higher levels of lactate dehydrogenase and total bilirubin when compared with those without urine abnormalities. Haptoglobin was significantly lower in the rust urine group. Fragmented red cells were observed in the blood smear of individuals with rust urine. Rust urine after drumming was associated with previous episodes of rust urine and glucosuria. Conclusions: Taken together, these data confirm that rust urine is caused by extracorpuscular hemolysis. -------------------------------- Med Sci Monit. 2008 Jan;14(1):CS1-4. Links Myoglobinuria caused by exertional rhabdomyolysis misdiagnosed as psychiatric illness. Banasik M, Ku¼niar J, Kusztal M, Porazko T, Weyde W, Klinger M. Department of Nephrology and Transplantation Medicine, Wroc³aw Medical University, Wroc³aw, Poland. m.bana...@interia.pl BACKGROUND: Rhabdomyolysis is severe and acute skeletal muscle damage resulting in sarcolemma disruption. During injury, intracellular muscle contents are released into the plasma. The consequences may cause hypovolemia, electrolyte abnormalities, compartment syndrome, or even acute renal failure and dialysis. CASE REPORT: We present the history of a patient in whom exertional rhabdomyolysis was misdiagnosed. A 20-year-old male police recruit was admitted to a psychiatric hospital because of complaints about black urine and severe thigh pain. Serum creatinine kinase (CK) was significantly elevated at 87,335 U/ l. Urinalysis showed brown color and cloudiness. Serum myoglobin was also significantly increased. Aspartate aminotransferase was elevated as was alanine aminotransferase. Immediate intravascular fluid hydration and hospital rest under renal, metabolic, and hematological monitoring was performed. CONCLUSIONS: Gymnastic teachers and people at environmental risk of rhabdomyolysis, such as members of the armed forces, police, and supervisors of physical laborers, need to remember the risks of intensive and repetitive exercise. Symptoms such as dark urine, myalgia, and muscle weakness should immediately arouse suspicion of rhabdomyolysis. Especially dark-colored urine should always be investigated for the occurrence of rhabdomyolysis. PMID: 18172418 [PubMed - indexed for MEDLINE] ----------------------- Deduction using reason .. logic .. science. Rhabdomyolysis is caused by exercise. Exercise causes hemolysis. Snake venom causes Rhabdomyolysis. Snake venom causes hemolysis. Hemolysis Causes Rust Urine Rhabdomyolysis Causes Rust Urine Voila .. http://members.tripod.com/~baggas/rhabdo.html Who loves ya. Tom Jesus Was A Vegetarian! http://tinyurl.com/2r2nkh Man Is A Herbivore! http://tinyurl.com/4rq595 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk "You may think in your mind you have something to .. add .. but evidentally .. you don't .." That's correct, nothing beyond what they plainly said. They found blood and other substances in urine which suggested internal tissue damage from the exertion of the intense drumming. They did not find "rust" as particles of oxidized iron one of them. Here is their description of "rust urine:" Urinary myoglobin causes a typical reddish-brown (port wine-like) color that can also be related with hemoglobinuria. Maybe we should call it "wine urine". Jesus ate a mediterranean diet. On Jul 16, 5:53 pm, ferr...@ironcity.com wrote: snip << You may think in your mind you have something to .. add .. but evidentally .. you don't .. Published ahead of print on April 23, 2008 Clin J Am Soc Nephrol 3: 1022-1027, 2008 (c) 2008 American Society of Nephrology doi: 10.2215/CJN.04491007 -------------------------------------------------------------------------------- Clinical Nephrology Rust Urine after Intense Hand Drumming Is Caused by Extracorpuscular Hemolysis Diego Tobal*, Alicia Olascoaga, Gabriela Moreira, Melania Kurdián*, Fernanda Sanchez, Maria Roselló*, Walter Alallón, Francisco Gonzalez Martinez*, and Oscar Noboa*, * Centro de Nefrología, Laboratorio Clínico, Departamento de Fisiopatología, Hospital de Clínicas, Facultad de Medicina Universidad de la República, Montevideo, Uruguay Correspondence: Dr. Oscar Noboa, Depto de Fisiopatología Hospital de Clinicas, Avda Italia s/n 11609, Montevideo, Uruguay. Phone/Fax: 5982-4809850; E-mail: ono...@hc.edu.uy Background and objectives: During Carnival, groups of 60 drummers go drumming with their hands and marching for periods of 2 to 4 h. The objective of this study was to determine the frequency and type of urinary abnormalities after candombe drumming and to evaluate possible pathogenic mechanisms. Design, setting, participants, & measurements: For analysis of pathogenic mechanisms, a group of individuals were prospectively evaluated before and after candombe drumming. Methods: Candombe drummers were recruited in January 2006, 1 wk before prolonged drumming. After clinical evaluation, urine and blood samples were obtained before and immediately after drumming. Results: Forty-five healthy individuals (four women and 41 men), median age 31 yr (14 to 56), were evaluated. Predrumming urine and plasma samples were obtained for 30 individuals. Nineteen (42%) of 45 had a previous history of rust urine emission temporally related with candombe drumming. After drumming, 18 of 26 showed urine abnormalities; six of 26 showed rust urine, eight of 26 had microhematuria, and seven of 26 had proteinuria >1 g/L. The candombe drummers who showed rust urine after heavy drumming presented significantly higher levels of lactate dehydrogenase and total bilirubin when compared with those without urine abnormalities. Haptoglobin was significantly lower in the rust urine group. Fragmented red cells were observed in the blood smear of individuals with rust urine. Rust urine after drumming was associated with previous episodes of rust urine and glucosuria. Conclusions: Taken together, these data confirm that rust urine is caused by extracorpuscular hemolysis. -------------------------------- Med Sci Monit. 2008 Jan;14(1):CS1-4. Links Myoglobinuria caused by exertional rhabdomyolysis misdiagnosed as psychiatric illness. Banasik M, Ku¼niar J, Kusztal M, Porazko T, Weyde W, Klinger M. Department of Nephrology and Transplantation Medicine, Wroc³aw Medical University, Wroc³aw, Poland. m.bana...@interia.pl BACKGROUND: Rhabdomyolysis is severe and acute skeletal muscle damage resulting in sarcolemma disruption. During injury, intracellular muscle contents are released into the plasma. The consequences may cause hypovolemia, electrolyte abnormalities, compartment syndrome, or even acute renal failure and dialysis. CASE REPORT: We present the history of a patient in whom exertional rhabdomyolysis was misdiagnosed. A 20-year-old male police recruit was admitted to a psychiatric hospital because of complaints about black urine and severe thigh pain. Serum creatinine kinase (CK) was significantly elevated at 87,335 U/ l. Urinalysis showed brown color and cloudiness. Serum myoglobin was also significantly increased. Aspartate aminotransferase was elevated as was alanine aminotransferase. Immediate intravascular fluid hydration and hospital rest under renal, metabolic, and hematological monitoring was performed. CONCLUSIONS: Gymnastic teachers and people at environmental risk of rhabdomyolysis, such as members of the armed forces, police, and supervisors of physical laborers, need to remember the risks of intensive and repetitive exercise. Symptoms such as dark urine, myalgia, and muscle weakness should immediately arouse suspicion of rhabdomyolysis. Especially dark-colored urine should always be investigated for the occurrence of rhabdomyolysis. PMID: 18172418 [PubMed - indexed for MEDLINE] ----------------------- Deduction using reason .. logic .. science. Rhabdomyolysis is caused by exercise. Exercise causes hemolysis. Snake venom causes Rhabdomyolysis. Snake venom causes hemolysis. Hemolysis Causes Rust Urine Rhabdomyolysis Causes Rust Urine Voila .. http://members.tripod.com/~baggas/rhabdo.html Who loves ya. Tom Jesus Was A Vegetarian! http://tinyurl.com/2r2nkh Man Is A Herbivore! http://tinyurl.com/4rq595 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk hemolysis << Published ahead of print on April 23, 2008 Clin J Am Soc Nephrol 3: 1022-1027, 2008 (c) 2008 American Society of Nephrology doi: 10.2215/CJN.04491007 -------------------------------------------------------------------------------- Clinical Nephrology Rust Urine after Intense Hand Drumming Is Caused by Extracorpuscular Hemolysis Diego Tobal*, Alicia Olascoaga, Gabriela Moreira, Melania Kurdián*, Fernanda Sanchez, Maria Roselló*, Walter Alallón, Francisco Gonzalez Martinez*, and Oscar Noboa*, * Centro de Nefrología, Laboratorio Clínico, Departamento de Fisiopatología, Hospital de Clínicas, Facultad de Medicina Universidad de la República, Montevideo, Uruguay Correspondence: Dr. Oscar Noboa, Depto de Fisiopatología Hospital de Clinicas, Avda Italia s/n 11609, Montevideo, Uruguay. Phone/Fax: 5982-4809850; E-mail: ono...@hc.edu.uy Background and objectives: During Carnival, groups of 60 drummers go drumming with their hands and marching for periods of 2 to 4 h. The objective of this study was to determine the frequency and type of urinary abnormalities after candombe drumming and to evaluate possible pathogenic mechanisms. Design, setting, participants, & measurements: For analysis of pathogenic mechanisms, a group of individuals were prospectively evaluated before and after candombe drumming. Methods: Candombe drummers were recruited in January 2006, 1 wk before prolonged drumming. After clinical evaluation, urine and blood samples were obtained before and immediately after drumming. Results: Forty-five healthy individuals (four women and 41 men), median age 31 yr (14 to 56), were evaluated. Predrumming urine and plasma samples were obtained for 30 individuals. Nineteen (42%) of 45 had a previous history of rust urine emission temporally related with candombe drumming. After drumming, 18 of 26 showed urine abnormalities; six of 26 showed rust urine, eight of 26 had microhematuria, and seven of 26 had proteinuria >1 g/L. The candombe drummers who showed rust urine after heavy drumming presented significantly higher levels of lactate dehydrogenase and total bilirubin when compared with those without urine abnormalities. Haptoglobin was significantly lower in the rust urine group. Fragmented red cells were observed in the blood smear of individuals with rust urine. Rust urine after drumming was associated with previous episodes of rust urine and glucosuria. Conclusions: Taken together, these data confirm that rust urine is caused by extracorpuscular hemolysis. -------------------------------- Med Sci Monit. 2008 Jan;14(1):CS1-4. Links Myoglobinuria caused by exertional rhabdomyolysis misdiagnosed as psychiatric illness. Banasik M, Ku¼niar J, Kusztal M, Porazko T, Weyde W, Klinger M. Department of Nephrology and Transplantation Medicine, Wroc³aw Medical University, Wroc³aw, Poland. m.bana...@interia.pl BACKGROUND: Rhabdomyolysis is severe and acute skeletal muscle damage resulting in sarcolemma disruption. During injury, intracellular muscle contents are released into the plasma. The consequences may cause hypovolemia, electrolyte abnormalities, compartment syndrome, or even acute renal failure and dialysis. CASE REPORT: We present the history of a patient in whom exertional rhabdomyolysis was misdiagnosed. A 20-year-old male police recruit was admitted to a psychiatric hospital because of complaints about black urine and severe thigh pain. Serum creatinine kinase (CK) was significantly elevated at 87,335 U/ l. Urinalysis showed brown color and cloudiness. Serum myoglobin was also significantly increased. Aspartate aminotransferase was elevated as was alanine aminotransferase. Immediate intravascular fluid hydration and hospital rest under renal, metabolic, and hematological monitoring was performed. CONCLUSIONS: Gymnastic teachers and people at environmental risk of rhabdomyolysis, such as members of the armed forces, police, and supervisors of physical laborers, need to remember the risks of intensive and repetitive exercise. Symptoms such as dark urine, myalgia, and muscle weakness should immediately arouse suspicion of rhabdomyolysis. Especially dark-colored urine should always be investigated for the occurrence of rhabdomyolysis. PMID: 18172418 [PubMed - indexed for MEDLINE] ----------------------- Deduction using reason .. logic .. science. Rhabdomyolysis is caused by exercise. Exercise causes hemolysis. Snake venom causes Rhabdomyolysis. Snake venom causes hemolysis. Hemolysis Causes Rust Urine Rhabdomyolysis Causes Rust Urine Voila .. http://members.tripod.com/~baggas/rhabdo.html Who loves ya. Tom Jesus Was A Vegetarian! http://tinyurl.com/2r2nkh Man Is A Herbivore! http://tinyurl.com/4rq595 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk "rust urine" is a term the article folk use to describe the color not the content of urine passed with blood in it from kidney damage. Other internal physical stress and damage can also cause blood to be passed in urine. Unlike the now entirely refuted iron causes alldisease because there is divine punishment for eating meat notion, it does not say there is "rust" as excess iron in blood. That notion is the invention entirely of one person who can not support even the basic claims of the iron notion. He sees what he wants to see in articles and doesn't understand most of them. So when he saw the word "rust" he pissed his pants but it refers only to color not excess iron levels. The body has two main processes by which iron levels are maintained, the crude idea "rust" could form is absurb and does not happen.. When looking at india where meat intake is low we find the world's highestk rate of diabetes and heart disease and other disorders. In other words, low meat goes in this case with highlevels of disease which is backwards of what the iron notion would predict. Rip iron notion. Jesus ate a mediterranean diet. |
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