A 23-year-old man with sickle cell disease presents with severe generalised bone pain, fever 38.2 degrees Celsius and tachycardia. Oxygen saturation i...

Question

A 23-year-old man with sickle cell disease presents with severe generalised bone pain, fever 38.2 degrees Celsius and tachycardia. Oxygen saturation is 96 percent on air and chest X-ray is normal. What is the most appropriate immediate management?

Accepted Answer

Strong opioid analgesia, hydration, oxygen if needed and broad-spectrum antibiotics

Answer

Oral Paracetamol only

Answer

Start Hydroxycarbamide immediately and discharge

Answer

Exchange transfusion in all cases

Answer

No antibiotics unless chest X-ray is abnormal

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

A 23-year-old man with sickle cell disease presents with severe generalised bone pain, fever 38.2 degrees Celsius and tachycardia. Oxygen saturation is 96 percent on air and chest X-ray is normal. What is the most appropriate immediate management?