Hemolysis

March Hemoglobinuria

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March Hemoglobinuria, Exertional Hemoglobinuria

  • Causes
  1. Strenuous Exercise (Running, marching)
  • Pathophysiology
  1. Transient intravascular Hemolysis
  2. Mechanical Trauma to RBC in microvasculature
    1. Hemoglobinemia
    2. Hemoglobinuria
  • Symptoms
  1. Symptoms related to severe exertion
  2. Back pain and thigh pain
  3. Red Urine
  • Labs
  1. Urine
    1. Hemoglobinuria
  • Management
  1. None usually required