CCS Sickle cell crisis

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6 AAM was broght to your office because of pain he has a history of sickle cell disease.


Complete PE


Blood smear

Hb electrophoresis

BUN & Cr



Xay skeletal


pulse ox


Iv Fluid


type and cross

exchange blood transfusion


Penicillin V 125 mg bid up to age 3; then 250 mg bid up to age 5

floic acid

immunization: H.influenzae B and pneumoccal vaccines

Aminocaproic acid for hematuria

If recurrent CVA, chronic transfusion program

Bone marrow transplation




USMLE step 3 CCS cases list

Other step 3 CCS resources

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