Welcome. My name is Devine. This is episode 504 of the Devine

intervention podcast. So these podcasts we're going to be continuing the

rapid review series for the USMA step 2 seeking

step 3 exams is going to be series 110.

Series 110.

So what if they give you a question about a patient and they tell you that this patient took a bunch of ecstasy and this person has been at a dance party for a few hours but that the person since they return from the dance party they become

some of the length they're not very responsive and you're told that the urine production has been very, very red.

What electrolyte is you do expecting this person?

Well, this is actually quite a simple question, right?

So this person has literally burned up their muscles big time right you

take ecstasy because you want to feel good when you go for some of these rays and whatnot, right? So you dance for a couple of hours, well guess what

your muscle cells are going to start breaking down. What are some other ways they could test this? They could test this in a person that just

run a marathon, right? They could test a pretty similar concept in a person

that has a Neuraleptic malignant syndrome, right? Obviously the person must have been exposed to

some kind of neuroleptic. The person must have been exposed to, you know, some

kind of antipsychotic, although you know that they love this, diabetes,

meducropramide, gastroparasis, a business for that as well. And then they could also test the same thing in a

person that has malignant hyperthermia. These are all situations where

muscle cells are going to break down pretty aggressively. As those muscle

cells break down you're going to get into quite a bit of trouble.

So remember, potassium is an intracellular ion, right? So this person clearly has rhabdomyolysis, right?

So potassium is an intracellular ion. so as your muscle cells are breaking down that

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