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Review Question - QID 108612

Sickle Cell Anemia Complications Functional asplenia by an early age QID: 108612 (M2.HE.17.4732)
In scope icon M 6 D
QID 108612 (Type "108612" in App Search)
A 5-year-old African American boy presents to the emergency department with diffuse, severe pain. He has had several of these episodes in the past year for which IV hydration and morphine were administered. His temperature is 99°F (37.2°C), blood pressure is 98/64 mmHg, pulse is 114/min, and respirations are 20/min. The patient is given analgesics and IV fluids and his symptoms improve but he has notable and persistent left upper quadrant pain as well as chills, and nausea and vomiting. Lab work is obtained and is seen below:

Leukocyte count and normal differential: 10,000/mm^3
Hematocrit: 27%
Mean corpuscular volume: 85 µm^3
Reticulocyte count: 1.5%
Platelet count: 150,000/mm3

A CT scan is performed and the results is seen in Figure A. Surgical intervention is performed promptly and he recovers well from the operation. Which of the following the next best step in management?
  • A
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  • A