Collapsed 2

Blood & Lymphoreticular System

Step 1: View Clinicals

{"ops":[{"insert":"A 19 year old man presents with weakness of both upper and lower limbs for 10 minutes, in association with severe pain on both sides of the neck. There is no history of recent trauma.\n\nHis medical history is significant for homozygous sickle cell disease, with no other associated hemoglobinopathies. Treatment with hydroxyurea has been initiated on several occasions, but his compliance has been poor.\n\nHe has had 5 episodes of acute chest syndrome during the last 3 years, which were treated with exchange transfusions. The last such episode was 5 months ago.\n\nHe does not smoke or consume alcohol and denies drug abuse. A complete blood count shows a Hb of 8.7 g\/dL, WBC of 12,000\/mm3, platelet count of 449,000\/mm3, and hematocrit of 26%.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-126_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. ECG + Echocardiogram
2. MRI Brain & Cervical Spine
3. ESR + CRP + ANA
4. Hypercoagulable Screen

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