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

VI. Management

  1. None usually required

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