Sickle cell disease-pulmonary infarction
Posted by dkwinter

See also: Chest pain Ddx
Pathophysiology
     Pulmonary infarction
Hx
     African American
     Sickle cell disease
     Multiple previous hospitalizations for pain and anemia management
Sx
     Acute onset severe chest pain
Workup
     CBC
     Reticulocyte count
     LDH
     Peripheral smear
     ABG
     CXR
     Cardiac enzymes
          CK-MB
          Troponin
     ECG
     CT-chest with IV contrast