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9727 Medicine

A 25 year old female, a known case of sickle cell anemia is presented with bony pain, dyspnea, fever & cough. O/E: her HR is 110/min & BP is 140/88 mmHg, SaO2 is 85%. CXR shows bilateral diffuse alveolar infiltrates. Her mother gives history of four similar episodes in the last one year. All of the statements regarding her condition are true EXCEPT:

AChronic therapy with oral hydroxyurea should be considered.
BShe is having a sickle cell acute chest syndrome.
CShe should receive daily sildenafil.
DHematocrit should be maintained at >30%.
Medicine
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