Abstract
Introduction: Sickle cell anemia is a kind of severe hemolytic anemia caused by the sickle haemoglobin (HbS) gene, which results in a faulty haemoglobin molecule. The term "sickle cell disease" refers to a set of genetic illnesses affecting red blood cells. People with sickle cell disease have irregularly formed red blood cells, which might be troublesome since they don't stay as long as healthy blood cells once they reach the state of blood arteries.
 Clinical findings:
 
 Progressive Anemia
 Mild jaundice
 Fever
 Headache
 Growth retardation
 Superaded bacterial infection
 Enlarge hurtNon healing ulcer
 
 
 Organ failure
 Abdominal pain with distension
 Joint pain
 
 Diagnostic Evaluation: Abdominal pain, fever, Hb (8.5 gm%), Abdomen swelling, Increase abdominal girth, pain in joint and irritability.
 Ultrasonography: Abdominal USG.
 Therapeutic Investigation: Inj. Ceftriaxone 1mg BD, Inj pantoprazole 20mg OD, Inj. Neomole 30ml SOS, Inj. Tramadol 0.4mg TD S, Cap. Hydra 500mg OD, syr. syncoria 5ml OD, Tab. Folic Acid 5mg OD.
 Outcome: All the investigation of the patient is done and the patient is diagnosed as sickle cell anemia.
 He showed significant progress after receiving therapy, and the treatment was kept ongoing until my last date of care.
 Conclusion: A male child of 8 yrs was brought to AVBRH on by his parents with a complaint of abdomen pain with distension, Pain in joints, irritability and he was admitted to pediatric ward. All the investigation of the patient is done and the patient is diagnosed as sickle cell anemia. He improved dramatically after receiving therapy, and the treatment was continued until my final date of care.
Highlights
Sickle cell anemia is a kind of severe hemolytic anemia caused by the sickle haemoglobin (HbS) gene, which results in a faulty haemoglobin molecule
Sickle cell anemia is a hereditary disease in which a malfunctioning haemoglobin produces chronic anemia, which can lead to a variety of significant problems
Dactylitis, defined as a steady-state haemoglobin side by side of a smaller amount than 7 g per decilitre, was found in this observational study of children with sickle cell anaemia, and leucocytosis in the absence of infection were all linked to poorer outcomes later in childhood
Summary
Subodh Itkalwar a*#, Ruchira Ankar a†ⱷ and Ranjana Sharma b a Department of Medical Surgical Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Science (Demmed to be University), Maharashtra, India. B Jawaharal Nehru Medical College, Datta (Meghe) Institute of Medical Science (DU) Sawangi,. This work was carried out in collaboration among all authors. All authors read and approved the final manuscript
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