Sickle Cell Disease Severity Pediatric Patients - Medical Algorithm

Are you evaluating a pediatric patient with sickle cell disease?

Yes

Number of episodes of acute chest syndrome

episodes over the past 2 years

Number of episodes of painful crises

episodes over the past 2 years

Hemoglobin

Percent hemoglobin F (enter from 0 to 100)

percent

Serum LDH in IU/L

Leukocyte count

Has the patient ever had?

• avascular bone necrosis?

Yes

• cerebral infarcts or vasculopathy?

Yes

• acute hepatic sequestration?

Yes

• pneumococcal septicemia or meningitis?

Yes

• priapism?

Yes

• acute splenic sequestration?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Severity Index of Wali et al for a Child with Sickle Cell Disease (SCD)
Laboratory Tests
- Model of Miller et al for Predicting the Risk of Severe Complications in a Child with Sickle Cell Disease
Severity, Prognosis, Stage
Complications

Societal Concerns

Economic Cost
- Factors for Hospital Readmission in Adult with Acute Sickle Cell Pain

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Societal Concerns

Specialty

Objective

ICD-10

Index of van den Tweel et al for Severity of Sickle Cell Disease (SCD) in a Pediatric Patient

Purpose: To evaluate the severity of sickle cell disease in a pediatric patient using the index of van den Tweel et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Societal Concerns

Specialty

Objective

ICD-10