March Hemoglobinuria

Aka: March Hemoglobinuria, Exertional Hemoglobinuria

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II. Causes

  1. Strenuous Exercise (Running, marching)

III. Pathophysiology

  1. Transient intravascular Hemolysis
  2. Mechanical Trauma to RBC in microvasculature
    1. Hemoglobinemia
    2. Hemoglobinuria

IV. Symptoms

  1. Symptoms related to severe exertion
  2. Back pain and thigh pain
  3. Red Urine

V. Labs

  1. Urine
    1. Hemoglobinuria

VI. Management

  1. None usually required

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