A 10-year-old boy with known HbSS disease presented to the Paediatric Emergency Department with a oneweek history of fever and severe pain in his right leg, severity 9/10 for the last two days. On examination: Pulse – 100 beats/min, BP – 110/70 mmHg, Capillary refill < 2sec and Respiratory rate – 20 breaths/ min. He has point tenderness anteriorly on proximal tibia. There is no joint swelling. X-ray of the affected limb shows marked periosteal elevation. His complete blood count is: Hb – 6.5 g/dL WBC 30 x 10 /L Plt – 120 x 10 /L with a reticulocyte count of 1%. Of the following the MOST appropriate management in this patient would be a. Ibuprofen, Cefotaxime and top-up transfusion b. Morphine, Ampicillin and hydration therapy c. Morphine, Cefotaxime and hydration therapy d. Morphine, Cefotaxime and top-up transfusion
A 10-year-old boy with known HbSS disease presented to the Paediatric Emergency Department with a oneweek history of fever and severe pain in his right leg, severity 9/10 for the last two days. On examination: Pulse – 100 beats/min, BP – 110/70 mmHg, Capillary refill < 2sec and Respiratory rate – 20 breaths/ min. He has point tenderness anteriorly on proximal tibia. There is no joint swelling. X-ray of the affected limb shows marked periosteal elevation. His complete blood count is: Hb – 6.5 g/dL WBC 30 x 10 /L Plt – 120 x 10 /L with a reticulocyte count of 1%. Of the following the MOST appropriate management in this patient would be a. Ibuprofen, Cefotaxime and top-up transfusion b. Morphine, Ampicillin and hydration therapy c. Morphine, Cefotaxime and hydration therapy d. Morphine, Cefotaxime and top-up transfusion
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Question
A 10-year-old boy with known HbSS disease presented to the Paediatric Emergency Department with a oneweek history of fever and severe pain in his right leg, severity 9/10 for the last two days. On examination:
Pulse – 100 beats/min, BP – 110/70 mmHg, Capillary refill < 2sec and Respiratory rate – 20 breaths/ min. He has point tenderness anteriorly on proximal tibia. There is no joint swelling.
X-ray of the affected limb shows marked periosteal elevation.
His complete blood count is: Hb – 6.5 g/dL WBC 30 x 10 /L Plt – 120 x 10 /L with a reticulocyte count of 1%.
Of the following the MOST appropriate management in this patient would be
a. Ibuprofen, Cefotaxime and top-up transfusion
b. Morphine, Ampicillin and hydration therapy
c. Morphine, Cefotaxime and hydration therapy
d. Morphine, Cefotaxime and top-up transfusion
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