system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 20-year-old woman is brought to the emergency department because of severe muscle soreness, nausea, and darkened urine for 2 days. The patient is on the college track team and has been training intensively for an upcoming event. One month ago, she had a urinary tract infection and was treated with nitrofurantoin. She appears healthy. Her temperature is 37°C (98.6°F), pulse is 64/min, and blood pressure is 110/70 mm Hg. Cardiopulmonary examination shows no abnormalities. The abdomen is soft and non-tender. There is diffuse muscle tenderness over the arms, legs, and back. Laboratory studies show:
Hemoglobin 12.8 g/dL
Leukocyte count 7,000/mm3
Platelet count 265,000/mm3
Serum
Creatine kinase 22,000 U/L
Lactate dehydrogenase 380 U/L
Urine
Blood 3+
Protein 1+
RBC negative
WBC 1–2/hpf
This patient is at increased risk for which of the following complications?"
assistant
Acute kidney injury