palpate the stomach for tenderness and spleen enlargement daily. Spleen enlargement suggests splenic sequestering which may require a blood transfusion. SCD is incurable and is life-long disease that requires comprehensive management that is highly tailored (Rogers, 2018). References Banerjee, S. &Michael R DeBaun, M. R. (2018). Hepatic manifestations of sickle cell disease. Retrieved November 23, 2019 from the UpToDate website:
Dave, H., Pecker, L., Dietrich, A., & Taylor. (2015). Sickle cell emergencies and how to handle them: Standards of care. Pediatric Emergency Medicine Reports 20 (2), 13- 22. Retrieved November 22, 2019 from the ReliasMedia website Goolsby, M. J. & Grubbs, L. (2015). Advanced assessment: Interpreting findings and formulating differential diagnoses. (3 rd ed.). Philadelphia, PA: F. A. Davis Iughetti, L., Bigi, E., & Venturelli, D. (2016). Novel insights in the management of sickle cell disease in childhood. World Journal of Clinical Pediatrics , 5 (1), 25–34. doi:10.5409/wjcp.v5.i1.25 Kimura, Y. & Southwood, T. R. (2018). Evaluation of the child with joint pain and/or swelling. Retrieved November 21, 2019 from the UpToDate website: - swelling Rogers, Z. R. (2018). Routine comprehensive care for children with sickle cell disease. Retrieved November 22, 2019 from the UpToDate website: - cell- disease?search=sickle%20cell%20disease%20children&source=search_result&selected itle=6~150&usage_type=default&display_rank=6 Shah, R., Taborda, C., & Chawla, S. (2017). Acute and chronic hepatobiliary manifestations of sickle cell disease: A review. World Journal of Gastrointestinal Pathophysiology, 8 (3), 108–116. doi:10.4291/wjgp.v8.i3.108 Sudoł-Szopińska, I., Matuszewska, G., Kwiatkowska, B., & Pracoń, G. (2016). Diagnostic imaging of psoriatic arthritis. Part I: Etiopathogenesis, classifications and radiographic features. Journal of Ultrasonography, 16 (64), 65–77. doi:10.15557/JoU.2016.0007
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