Case 1
JP, a 32 year old man with HbSS sickle cell disease, attends A&E with chest pain and shortness of breath. Oxygen saturations are 92%. What is the first investigation required?
CT chest
CXR
CTPA
V/Q scan
The CXR is as shown. He is started on antibiotics, oxygen and fluids. Saturations do not improve. What investigation is neede next?
CTPA
High resolution CT scan
Hb HPLC & G&S
Arterial blood gas
You decide to organise a red cell exchange. What target HbS % should you aim for?
30%
10%
50%
70%
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