Quote:
Originally posted by Sacamuelas
Genetic condition commonly affecting African race
|
I should have seen that.....
I would imagine that differentiation would be within the means of 18D if trained and equiped in the field, and certainly a basic clinic staffed by an MD, by slide (sickle cell erythrocyte vs stains for parasites in bloodcells).
Palliative measures could include but not be limited to:
*Bedrest w/minimul exercise to promote circulation(avoid DVT).
*Hydration either PO or Parental.
*Analgesia to include local adjuncts if possible.
*Strict I/O.
*Monitor lytes especialy Na.
*Keep pt warm, cold is contra-indicated to avoid vaso-occlusion.
*Also monitor for shock(acute sequestration crisis=probably how sibling died), infection, CVA.
*prophylactic ABX tx if possible (broad spectrum?).
*Support parents/family if time available
*Education of village/family
(Edited for clarity)