A 16 years old boy comes to the ER after Tonic clonic seizures $\S$, the patient has diffuse muscle aches and weakness, he also noticed darkening in his urine, physical examination shows dry mucus membranes and muscle tenderness all over his body. Laboratory results are as follow:
$\mathrm{BUN}: 36 m \frac{g}{d} l$
Creatinine: $2 m \frac{g}{d} l$
Creatine kinase : $22,000 U / L$ (normal 30 - 170)
Which of the following urine microscopy finding is most likely to be seen in this patient?
Which of the following is the next BEST step in the management of this patient?

Question

Accepted Answer

***A*** ∻Key Concept∻ ⚹Myoglobinuria⚹ ∻Explanation∻ ⚹The patient's symptoms and lab findings suggest rhabdomyolysis, which often leads to myoglobinuria, observable as dark urine under microscopy due to the presence of myoglobin.⚹ ***B*** ∻Key Concept∻ ⚹Aggressive hydration⚹ ∻Explanation∻ ⚹The next best step in managing rhabdomyolysis is aggressive intravenous hydration to prevent kidney damage from myoglobin deposition.⚹◊What urine microscopy finding is most likely to be seen in this patient?⍭ Generate me a similar question◊

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