Oral Azithromycin in Medicine / Internal Medicine — 28yo Woman | Hematology | SMLE Q#11703

SMLE Question #11703

Medicine / Internal Medicine Hematology

Objective: OBJ-101

Last updated: February 2026
A 28-year-old woman treated with oral azithromycin for atypical pneumonia develops 3 days of worsening fatigue, dark urine, and scleral icterus. Examination shows pallor. Laboratory findings are consistent with hemolysis without schistocytes. She is symptomatic from anemia. What is the most appropriate next step in management?

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