Exertional Rhabdomyolysis: A Case of Markedly Elevated Creatine Kinase Without Acute Kidney Injury
Bibliographic record
Abstract
Rhabdomyolysis describes a clinical syndrome in which striated muscle breaks down and intracellular contents are released into the circulation. Exertional rhabdomyolysis can be caused by a new, intense workout routine or a change in intensity of an existing one. The severity of presentation varies from asymptomatic creatine kinase (CK) elevations to life-threatening renal failure, disseminated intravascular coagulation, cardiac dysrhythmias and/or compartment syndrome. Our case describes a patient with exertional non-traumatic rhabdomyolysis caused by a mild workout routine change with markedly elevated CK level. There was no evidence of any concomitant renal failure or other aberrancies, such as compartment syndrome, electrolyte abnormalities or electrocardiogram changes. Although the patient reports this as his initial episode of such symptoms, inherited metabolic disorders and genetic mutations should be considered and further workup performed. To the best of our knowledge, this is a rare case of a significantly elevated CK resulting from modest exercise that did not result in acute kidney injury. J Med Cases. 2014;5(9):483-485 doi: http://dx.doi.org/10.14740/jmc1792w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.004 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".