Room 206 Case

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Room 206 presented to the hospital with lower back pain due to her sickle cell anemia. She was treated a few days ago and went home. Her grandmother brought her back due to recurrent lower back pain. The grandmother reported how she has not had a bowel movement in a few days. Room 206 is currently taking MiraLax for her constipation, and Dilaudid for her pain. Room 206 also has a history of hypertension, and asthma. Room 206 is not on any hypertensive medication, but she is taking Singulair for her asthma and it is under control. Room 206 current diagnosis and past medical histories do not seem to be related to her sickle cell disease.

Sickle cell anemia is an inherited anemia, which causes a lack of red blood cells to carry oxygen throughout …show more content…
Her grandmother said that her mother had the gene, but she did not say anything about her father. When Room 206’s red blood cells become sticky and does not allow for enough oxygenation, then Room 206 develops sickle cell crisis. Those sickle cell crises are painful, and the pain is from the sickling of the cells. Room 206 does look like her growth is delayed because she falls in the 50th percentile in the growth chart, but she does not seem to have any vision problems. One of the risk factors that Room 206 has is hypertension, but hers is not pulmonary hypertension, so one cannot assume that is the cause for her sickle cell anemia. Moreover, Room 206 does not seem to have any more risk factors that could be the cause of her sickle cell anemia. Nevertheless, all of Room’s 206’s lab that were abnormal are noted above, either high or low. One of the signs and symptoms of sickle cell is frequent infections. There is a correlation between frequent infections and having a high glucose of 102 because high glucose tends to increase the chance of infections. Also, Room 206’s neutrophil count was also high, which relates to why she is on antibiotics, which is to treat her

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