Practice
A 19-year-old woman with sickle cell disease and pain
Richard Ward, Ewurabena Simpson and Madeleine Verhovsek
CMAJ July 12, 2016 188 (10) 745-746; DOI: https://doi.org/10.1503/cmaj.150512
Richard Ward
Division of Medical Oncology and Hematology (Ward), University Health Network; and Division of Hematology (Ward), University of Toronto, Toronto General Hospital, Toronto, Ont.; Division of Hematology/Oncology (Simpson), Children’s Hospital of Eastern Ontario; and Faculty of Medicine (Simpson), University of Ottawa, Children’s Hospital of Eastern Ontario, Ottawa, Ont.; Division of Hematology and Thromboembolism (Verhovsek), McMaster University, St. Joseph’s Healthcare, Hamilton, Ont.
MBBS MScEwurabena Simpson
Division of Medical Oncology and Hematology (Ward), University Health Network; and Division of Hematology (Ward), University of Toronto, Toronto General Hospital, Toronto, Ont.; Division of Hematology/Oncology (Simpson), Children’s Hospital of Eastern Ontario; and Faculty of Medicine (Simpson), University of Ottawa, Children’s Hospital of Eastern Ontario, Ottawa, Ont.; Division of Hematology and Thromboembolism (Verhovsek), McMaster University, St. Joseph’s Healthcare, Hamilton, Ont.
MD MPHMadeleine Verhovsek
Division of Medical Oncology and Hematology (Ward), University Health Network; and Division of Hematology (Ward), University of Toronto, Toronto General Hospital, Toronto, Ont.; Division of Hematology/Oncology (Simpson), Children’s Hospital of Eastern Ontario; and Faculty of Medicine (Simpson), University of Ottawa, Children’s Hospital of Eastern Ontario, Ottawa, Ont.; Division of Hematology and Thromboembolism (Verhovsek), McMaster University, St. Joseph’s Healthcare, Hamilton, Ont.
MD
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A 19-year-old woman with sickle cell disease and pain
Richard Ward, Ewurabena Simpson, Madeleine Verhovsek
CMAJ Jul 2016, 188 (10) 745-746; DOI: 10.1503/cmaj.150512
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- Is this patient having pain from a vasoocclusive crisis?
- What diagnoses should be ruled out before outpatient treatment for vasoocclusive crisis?
- Are any investigations necessary?
- What advice should be offered to the patient to help manage pain at home?
- What follow-up can be instituted to prevent future episodes?
- Case revisited
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