A 25-year-old man with sickle cell disease presents to the emergency department with severe generalised bone pain of 10/10 but no signs of infection. ...

Question

A 25-year-old man with sickle cell disease presents to the emergency department with severe generalised bone pain of 10/10 but no signs of infection. Observations are stable. What is the most appropriate immediate management?

Accepted Answer

Prompt strong opioid analgesia with regular assessment and supportive care

Answer

Oral Paracetamol only

Answer

Oral NSAIDs only

Answer

Exchange transfusion immediately

Answer

Start Hydroxycarbamide in ED

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

A 25-year-old man with sickle cell disease presents to the emergency department with severe generalised bone pain of 10/10 but no signs of infection. Observations are stable. What is the most appropriate immediate management?