36,000 births (Burns, Dunn, Brady, Starr, Blosser, 2016). Clinical findings include fatigue and anemia, pain crises, dactylitis, ley ulcers, priapism, bacterial infections, abdominal pain, eye damage, splenic sequestration or liver congestion(Burns, Dunn, Brady, Starr, Blosser, 2016).Arthritis psoriatic: This is the asymmetric or symmetric small or large joints. It is an This is an inflammatory arthritis that is very rare and mostly common with females aged 9 to 12 years old (Burns, Dunn, Brady, Starr, Blosser, 2016).Rheumatoid arthritis juvenile:This is a persistent arthritis that is more than 6weeks old for pediatrics younger than 16yeras old. It is heterogeneous disorder, it is higher in girls than in boys, it is characterized by pain, joint stiffness, joint effusion and warmth (Burns, Dunn, Brady, Starr, Blosser, 2016). In SCD, the spleen doesn’t work properly or doesn’t work at all. This problem makes people with SCD more likely to get severe infections. What is the treatment for Miah and education for the family?For this sickle cell anemia, the important thing is adequate hydration and providing adequate pain relief. There is further monitoring and evaluation like monitor for signs of acute chest syndrome, a type of acute respiratory distress syndrome. Monitor for temperature elevation,
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