CCS Sickle cell crisis

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HPI

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

PE:

Complete PE


labs:

Blood smear

Hb electrophoresis

BUN & Cr

Lfts

Electrolyates

Xay skeletal


Tx

pulse ox

o2

Iv Fluid

morphine

type and cross

exchange blood transfusion

hydroxyurea

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


Eduation

Counsel


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USMLE step 3 CCS cases list


Other step 3 CCS resources

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