SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Chest pain in sickle cell disease

A 25-year-old man with sickle cell disease presents with non-productive cough, severe central chest pain and hypoxia. Vitals are as follows : T 38.0°C

  • HR 120
  • BP 110/65
  • RR 28
  • Sats 88% RA

Chest pain in sickle cell disease

1. What is the most concerning diagnosis in this patient? 1 mark

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2. Excluding infection, list two possible precipitants for this presentation. 2 marks

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3. State four initial management priorities for this patient with justification. 4 marks

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4. List three other acute crises which may occur in patients with sickle cell disease. 3 marks

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5. List two indications for exchange transfusion in sickle cell crisis. 2 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.