Atypical Pneumonia in Medicine / Internal Medicine — 24yo Man | Hematology | SMLE Q#18775

SMLE Question #18775

Medicine / Internal Medicine Hematology

Objective: OBJ-101

Last updated: March 2026
A 24-year-old man is admitted with atypical pneumonia and started on azithromycin. On hospital day 3, he develops jaundice and dark urine. He has no known liver disease, alcohol use disorder, or prior episodes of anemia. Examination shows scleral icterus without abdominal tenderness or hepatosplenomegaly. Laboratory results are shown below. What is the most appropriate next step in management?

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