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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

II. PHYSICAL EXAM

Height 100 cm (25%)
Weight 15 kg (25%)
Temperature 38.9 C
Heart Rate 135
Respiratory Rate 40
BP 93/59 (50%)
Oxygen Saturation Level: 87%

HEENT – Normocephalic, TMs clear, OP clear
Neck – No adenopathy
Chest – Mild subcostal retractions. Audible rales at lung bases.
Heart – Tachycardic with II/VI murmur
Abdomen – Mild distension, Tender to palpation with no local, no hepatosplenomegaly
Genitourinary – Circumcised male, No priapism
Extremities – Warm. Cap refill < 2 seconds
Neurologic – Crying, alert boy. Face was symmetric. Moved all extremities and was non-focal.
Skin – Dry with patches of eczema on extensor surfaces.

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