<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:Treatment with intravenous acyclovir is initiated. Three days later, the patient develops progressively worse fatigue, headache, and colicky pain in his right flank. His temperature is 36.7C 98F, pulse is 85min, and blood pressure is 13580 mm Hg. Examination shows no new lesions. Laboratory studies show:Hemoglobin 11.3 gdLSerumNa 140 mEqLCl- 99 mEqLK 5.5 mEqLHCO3- 22 mEqLUrea nitrogen 56 mgdLCreatinine 3.2 mgdLWhich of the following is the most likely finding on urinalysis?? A: Eosinophils and red blood cells, B: Gram-negative rods and white blood cell casts, C: Red blood cell casts and acanthocytes, D: Crystals and white blood cells, E: Fatty casts and proteinuria,  <response>: Based on the clinical vignette, the patient developed acute kidney injury likely due to acyclovir toxicity while being treated for a herpes infection. The elevated serum creatinine and blood urea nitrogen indicate impaired kidney function. Crystalluria is a known complication of high-dose IV acyclovir therapy that can lead to kidney injury. Therefore, the urinalysis result most likely to be found is crystals and white blood cells.D: Crystals and white blood cells 