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Teaching Cases

Sickle Cell Disease - Allison King, MD, MPH and John DiPersio, MD, PhD
Washington University School of Medicine, St. Louis, MO

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.


I. HistoryII. Physical ExamIII. Laboratory DataIV. Differential Diagnosis
V. PathophysiologyVI. Prognosis/Clinical CourseVII. Teaching PointsVIII. Bibliography

I. HISTORY

Patient Presentation

A four-year-old male with Hemoglobin SS is admitted to the hospital with abdominal pain and fever. Two days ago, he was treated in the emergency room for abdominal pain with Oxycodone. Despite taking the pain medication every four hours, the pain has persisted.

What questions pertaining to the present illness are most relevant at this point? Select all that apply.

Has he ever had abdominal pain from SCD before?
When was he diagnosed with SCD?
Can you tell me when his last bowel movement was?
Has the pain decreased at all with the oxycodone?
Has he had a cough?
Has he had any change in urination?


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