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Good thought...Initial K was only 3.8.  We only repeated cardiac enzymes, not a full chemistry.  I will have to run that by the physician on the case, as he has been following up with the coroner.  but it would make sense...initial CK was 714, and repeat was 2069.  BUN was 15, but creatinine was already 2.4; perhaps there was a familial predisposition to kidney failure as well, and the drug use didn't help.  
 
THIS is why it is such a help to review such cases!
 
Thanks!
Lee  

"Hardcastle Tim, Dr <tch at sun.ac.za>" <tch at sun.ac.za> wrote:
Lee

Acute hyperkalemic cardiac arrest after inability to excrete the K from Rhabdo induced nephropathy??? Will just show up as "pale kidneys" on autopsy! What was the serum K?

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
General Surgeon (Trauma and ICU)
ATLS and DSTC instructor
Intern program Coordinator: Surgery
Program Manager: Emergency Medicine (U.S.)
Operational Head: Diana Princess of Wales Trauma Unit
Department of Surgery Room 4064
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
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Western Cape
South Africa

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e-mail: tch at sun.ac.za
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