Evidence Of Hemolysis in Medicine / Internal Medicine — 19yo Woman | Hematology | SMLE Q#18065

SMLE Question #18065

Medicine / Internal Medicine Hematology

Objective: OBJ-HEME-HA-001

Last updated: February 2026
A 19-year-old woman is hospitalized for atypical pneumonia and started on azithromycin. On day 3, she develops scleral icterus, dark urine, and mild diffuse abdominal discomfort. She has no history of liver disease or bleeding. Examination shows jaundice without hepatosplenomegaly. Investigations show severe anemia with evidence of hemolysis. What is the most appropriate next step in management?

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