Lucky Break



Lucky Break


David B. Wilson

Julie A. Steinberg



CHIEF COMPLAINT

“Fell out of bed”


HISTORY of PRESENT ILLNESS

A 4-year-old boy with sickle cell disease (Hb SS) fell from a bunk bed 3 days PTA. On the DOA, he was taken to the emergency department for evaluation of worsening arm pain and swelling. He has had no fevers and no other symptoms whatsoever.


PAST MEDICAL HISTORY



  • Prematurity


  • G-tube placement/removal


  • SVT, age 7 month, resolved


  • One episode of sickle cell pain


Medications



  • PCN VK 250 mg po BID


  • Hydroxyurea 250 mg po qD


  • Ibuprofen PRN


  • Acetaminophen/hydrocodone PRN


  • Miralax


Family/Social History



  • Diet: Picky eater; diet lacks Fe-rich foods.


  • FH: Sickle cell trait, both parents.


  • SH: Lives with grandmother, mother, and sibling.


EXAMINATION

Jun 26, 2022 | Posted by in PEDIATRICS | Comments Off on Lucky Break
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