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www.downstatesurgery.org Perioperative …
Perioperative management of patients with Sickle Cell Disease November 29th, 2012 David Vivas, MD - History CC: RLQ pain HPI: 14 y/o female with h/o Hg SC presented to ED with 4 days h/o abdominal pain, initially diffuse but later locating to RLQ, associated with nausea, vomiting x 4 (nonbilious/nonbloody) and back pain. Patient denied fevers, diarrhea. - History PMH: SCD, multiple hospital admissions for pain crises in Jamaica PSH: None SHx: Patient recently emigrated to the US from Jamaica (2 weeks prior to presentation) FHx: Father, mother, brother with SCD NKDA - PE VS: T , HR: 125, BP: 111/69, RR: 30, SaO2: 99% AAOx3, In mod. distress Scleral icterus CV: RRR, tachycardic Chest: CTA, b/l Abdomen: Mod. distension, + BS, soft, diffusely TTP.
Perioperative Management of Patients with Sickle Cell Disease November 29 th, 2012 David Vivas, MD www.downstatesurgery.org
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