2 Days Of Progressive in Medicine / Internal Medicine — 33yo Woman | Nephrology | SMLE Q#11453
SMLE Question #11453
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 33-year-old woman with diffuse cutaneous systemic sclerosis presents with 2 days of progressive drowsiness and blurred vision. She reports severe headache and reduced urine output. Examination shows raised jugular venous pressure with marked bilateral pitting edema, and fundoscopy shows retinal hemorrhages with papilledema. What is the most appropriate immediate management?
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