Cert Clin Haematology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate In Clinical Haematology (Paediatrics) Exam

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A 6-year-old boy with HbSS presents to the emergency department with fever (38.9°C), cough, chest pain, tachypnoea, and a new segmental infiltrate on chest radiography. Pulse oximetry shows oxygen saturation of 91% on room air. What is the immediate first-line medical management package?

Supplemental oxygen, empiric IV ceftriaxone plus oral azithromycin, analgesia, and simple blood transfusion Empiric oral amoxicillin and outpatient follow-up in 48 hours Immediate urgent high-dose IV dexamethasone and plasmapheresis Hyperbaric oxygen therapy and immediate therapeutic anticoagulation with therapeutic LMWH

Correct Answer:

Supplemental oxygen, empiric IV ceftriaxone plus oral azithromycin, analgesia, and simple blood transfusion

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