Sickle Cell Anemia Complications - Clinical Danger Signs

Are you evaluating a patient with sickle cell disease?

Yes

Has the patient ...

• become dehydrated?

Yes

• become hypoxic?

Yes

• become acidotic?

Yes

• undergone physiologic stress?

Yes

• developed an infection?

Yes

• been exposed to an extreme of environmental temperature?

Yes

Does the patient have ...

• fever (persistent or recurrent temperatures above 38.5°C)?

Yes

• chest pain?

Yes

• abdominal pain?

Yes

• shortness of breath?

Yes

• severe headache?

Yes

• focal weakness?

Yes

• a change in mental status?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of danger signs present

Risk of a complication

Is a careful evaluation of the patient warranted?

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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)
- Index of van den Tweel et al for Severity of Sickle Cell Disease (SCD) in a Pediatric Patient
Laboratory Tests
- Model of Miller et al for Predicting the Risk of Severe Complications in a Child with Sickle Cell Disease
Criteria For Diagnosis
- Index of van den Tweel et al for Severity of Sickle Cell Disease (SCD) in a Pediatric Patient
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

Clinical Danger Signs for Acute Complications in Patient with Sickle Cell Disease

Purpose: To identify clinical findings associated with an impending complication in a patient with a sickling hemoglobinopathy.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Societal Concerns

Specialty

Objective

ICD-10