4th May 2024

A 22-year-old man with sickle cell disease presents to the Emergency Department with severe abdominal and back pain.

A 22-year-old man with sickle cell disease presents to the Emergency Department with severe abdominal and back pain. He describes the pain as sharp and rates it 9/10. He reports no recent injuries or unusual physical activity. His temperature is 37.1°C, pulse rate is 98 bpm, BP is 130/85 mmHg, respiratory rate is 18 breaths per minute, and oxygen saturation is 97% on room air.

Investigations:

White cell count 12.5 x 10⁹/L (4.0–11.0)

Haemoglobin 68 g/L (130–170)

Platelets 210 × 10⁹/L (150–400)

Which is the next management step?