Few Red Cells On in Medicine / Internal Medicine — 28yo Man | Nephrology | SMLE Q#18141

SMLE Question #18141

Medicine / Internal Medicine Nephrology

Objective: OBJ-188

Last updated: February 2026
A 28-year-old man who recently started military service presents after several days of intense training in hot weather. He has severe diffuse muscle pain, weakness, and dark urine. Urine dipstick is positive for blood with few red cells on microscopy. What is the most appropriate initial management to prevent acute kidney injury?

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