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25th July 2024
A 30-year-old gentleman presents to A&E with shortness of breath, chest pain
A 30-year-old gentleman presents to A&E with shortness of breath, chest pain and a cough on the background of sickle cell disease. He is tachypnoeic, febrile and oxygen saturations are 92% on room air, with some left basal crackles on auscultation with left basal shadowing seen on the CXR.
| Hb (130 – 180 g/L) | 85 g/L |
| WCC (3.6 – 11.0 x 10⁹/L) | 12.3 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 320 x10⁹/L |
| Bilirubin (<21 μmol/L) | 32 umol/L |
| LDH (240–480 U/L) | 550 U/L |
| CRP (< 5mg/L) | 65 mg/L |
What would be the most appropriate immediate management?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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