47. Dark Urine from an Immigrant

  1. Christopher P. Holstege MD4,5,6,
  2. Alexander B. Baer MD4,7,
  3. Jesse M. Pines MD, MBA, MSCE8,9 and
  4. William J. Brady MD10,11,12
  1. Suzanne M. Shepherd MD, DTM&H1,2,3 and
  2. William H. Shoff MD, DTM&H1,3

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch47

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Shepherd, S. M. and Shoff, W. H. (2011) Dark Urine from an Immigrant, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch47

Editor Information

  1. 4

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 5

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 6

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 7

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 8

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 9

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 10

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 11

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 12

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    PENN Travel Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

  2. 2

    Fast Track, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

  3. 3

    Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 47, dark urine - from an immigrant;
  • 38-year-old Egyptian male, with complaints of - fatigue, skin and eye yellowing, crampy abdominal and low back pain, and darker urine;
  • denial of ingestion of alcohol - or raw or tainted foods;
  • vital signs, remarkable - for a pulse of 108 beats per minute;
  • abdominal examination - revealing mild diffuse tenderness;
  • tests, that would be the next step in evaluation