A 29-year-old man with sickle cell disease presents in severe pain in his limbs and back. He is afebrile, with oxygen saturation 95% on air and no che...

Question

A 29-year-old man with sickle cell disease presents in severe pain in his limbs and back. He is afebrile, with oxygen saturation 95% on air and no chest signs. What is the most appropriate immediate management?

Accepted Answer

Prompt strong opioid analgesia, hydration and oxygen if indicated

Answer

Discharge with advice to take Paracetamol only

Answer

Start high-dose steroids

Answer

Immediate blood transfusion in all crises

Answer

Start long-term Hydroxycarbamide immediately in the emergency department

uk-plab-1 MCQ (SBA): Sickle cell painful crisis

A 29-year-old man with sickle cell disease presents in severe pain in his limbs and back. He is afebrile, with oxygen saturation 95% on air and no chest signs. What is the most appropriate immediate management?