Welcome back to #teamhaem. Great you have you on board with this new case.

We start in the emergency department. A 16 year old female with known homozygous sickle cell anaemia presents to your hospital with abdominal pain and feeling lightheaded.  She had an elective laproscopic cholecystectomy five days earlier at another hospital and only left hospital a day previous.

Observations reveal:

• BP 89/50
• Pulse 105bpm
• SpO2 96% on room air
• Resp rate 20/minute
• Temperature 37.7 degrees Celsius

Questions

• Is there anything you would like to know from this history first of all?
• What are the important points in the initial management of this patient whilst undergoing a diagnostic workup?

Please reply to us (@teamhaem) on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.