TY - CHAP M1 - Book, Section TI - Sickle Cell Disease A1 - Modi, Arunkumar A1 - Thompson, Margaret C. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A 4-year-old boy with known sickle cell disease is brought to the emergency department with worsening pain in his thighs, lower back, abdomen, and chest. He developed pain in both thighs 2 days ago, and was treated with ibuprofen without improvement. His chest pain began today and he refused to walk or eat. In the emergency department, he was tachypneic and had an oxygen saturation by pulse oximetry of 84 percent on room air, which increased to 95 percent on 2 liters oxygen by nasal canula. A chest x-ray showed bilateral infiltrates (Figure 211-1). He was diagnosed with acute chest syndrome and admitted to the pediatric intensive care unit, where he was treated with intravenous fluids, pain medications, and antibiotics, and made a full recovery. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114880133 ER -