What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case? 

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1-How would you evaluate and manage a pediatric patient who has a painful swelling of the hands and feet, fatigue, or fussiness? Which diagnostic studies would you recommend for this patient and why?

2-What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case?

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3-In SCD, the spleen doesn’t work properly or doesn’t work at all. This problem makes people with SCD more likely to get severe infections. What is the treatment for Miah and education for the family?

 
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