Hesi case study sickle cell anemia joi

A year-old woman with a history of sickle cell disease SCD presents to the clinic for follow-up after a hospitalization for a vaso-occlusive pain crisis complicated by influenza A. She has a history of an acute ischemic stroke at age 5 years and has received monthly, simple red cell transfusions since the stroke. Her last transfusion was approximately four months prior. The incidence of primary stroke in children with SCD is 0.
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A three years old male child, native of Jharkhand, Central India presented with mild pallor, icterus, and history of on and off abdominal and joint pains. On examination the child had mild splenomegaly. He had history of two prior hospital admissions. First at the age of 1 year, when he was diagnosed to have pneumonia and second, at the age of 3 years 3 months prior to coming to our institution for fever, anemia and jaundice. He has had three transfusions till now, last transfusion was 3 months back. There is history of sibling death at 5 years of age due to fever and jaundice. The hemogram showed anemia with leukocytosis.
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HESI Case Studies–Pediatrics-Sickle Cell Anemia (Mary)

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