Newly Diagnosed High-grade Non-hodgkin in Medicine / Internal Medicine — 48yo Man | Oncology | SMLE Q#18016

SMLE Question #18016

Medicine / Internal Medicine Oncology

Objective: OBJ-191

Last updated: February 2026
A 48-year-old man with newly diagnosed high-grade non-Hodgkin lymphoma is admitted to start chemotherapy (CHOP-based). Within 24 hours, he develops nausea and flank discomfort and has had no urine output for 10 hours. He received IV isotonic saline with minimal improvement in urine output. Laboratory results are shown. What is the most appropriate additional management?

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