AKI in a Patient with Hemolytic Anemia.

### Case Answer A 15-year-old woman presented to a hospital with malaise and visible pallor that had lasted for 2 weeks. The patient was treated with ferrous iron and discharged home. Following discharge, the patient’s symptoms did not improve and she subsequently developed dark urine. As a result, the family decided to seek care at a larger center. When the patient arrived to our center, urinalysis was obtained in view of the reported symptoms. Dipstick urinalysis revealed pH 7.0, specific gravity 1.015, protein 3+, hemoglobin 3+, urobilinogen excess, and bilirubin 1+. Examination of the spun urine sediment revealed numerous renal tubular epithelial cells (RTECs) (u003e50/high power field), red blood cells (1–2/high …