VI. PROGNOSIS/CLINICAL COURSE

The patient eventually regained all gross motor function. He received speech, physical, and occupational therapy as an outpatient. As part of his rehabilitation evaluation, he underwent cognitive testing. His full scale IQ was 82 and he had weaknesses in his memory and attention domains. When he started school two years later, he failed kindergarten.

The patient has slightly impaired lung function as a result of his prolonged intubation and asthma. He is followed by both the hematology and pulmonary service to provide his care. His medications include daily low dose inhaled steroids, and he uses albuterol as needed.

Staff from the medical team worked with his school to educate the staff regarding his SCD and asthma, and the accommodations needed in the school setting to assist him. The school nurse has a plan of action in case he develops symptoms related to either disease process. He began receiving special education services to address his learning deficits as well.

View Teaching Points

View Bibliography