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Posted On : 14 Apr 2010

A.K,8yrs. has SickleCell Disease`he had one crisis in past with dactilitis and shoulder pain` presently fresh crisis severe lt.arm pain` Ibuprofen 6hrly,added Naproxyn` very little relief` in pain since 13, 4, 09` Xray arm NAD` suggest relief.

Expert Answer :

Answer Discussion :

S

SHOKRY

0

blood transfusion

14 years ago

D

dalia ghantous

0

blood transfusion is indicated for chronic and severe pain
if NSAIDS cannot releif pain,u can use morphine for acute relief

14 years ago

S

saeedelsadek

0

we can use naproxin or opioid derivatives

14 years ago

B

bjreddy

0

1}pentoxiphylline 2}fresh packed cell blod transfusion 3}hydroxy urea if required after trying above options

14 years ago

M

manish kumar

0

inj morphine

14 years ago

Answer 1

Rule out osteomyelitis. A bone scan would be useful. Also if it is severe sickling, then blood transfusion, correction of dehydration, acidosis may be required.

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