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This case study presents two patients with sickle cell disease (SCD) experiencing severe symptoms. The first patient, a known SCD case, presented with severe pain in the right arm after gym activity, with pain persisting despite analgesics. Laboratory tests showed a hemoglobin level of 6 g/dl but normal white blood cell and platelet counts. The discussion will explore the causes of the pain, potential triggers, and management strategies. The second case involves a 34-year-old patient presenting with fever, chest pain, and dyspnea.
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Theme session GEMP I Haemoglobinopathies
Case 1- Known SCD • Presents with severe pain in right arm after returning from the gym. Was not injured. • Admitted to hosp as Brufen and Panado did not help • Hb 6 g/dl, WCC N; Platelet count N
Questions- Case 1 • What is the cause of the severe pain? • What triggered off the pain? • What other factors might serve as triggers. • Briefly discuss management
Case 2- sickle cell disease • 34 yr old presented with fever, chest pain, and dyspnoea • O/E: T 39.5C, RR= 24/min