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We have initiated basic treatment for patients with a potential sickle cell crisis:
- Oxygen if hypoxic
- Keep warm
- Low threshold for antibiotics
- Septic screen
Our patients investigations show:
- WCC 16.7×10*9/L
- Neuts 13.3×10*9/L
- Hb 47g/L (baseline between 75 and 90g/L)
- PLT 562×10*9/L
- BHCG negative
- CXR – some atelectasis and possible effusion on the right side but no air under the diaphragm
- USS abdo – pending
- CRP 298
She had a one unit transfusion pre op for optimisation. The operation went well without major complications. We know that she has anti-Fya and anti-C and she has received appropriate blood.
- What’s your next step?
- Possible causes of high CRP?
- How do you account for the anaemia?
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