1. case study

2. • Frank is a 5 year old boy who enjoys swimming, riding his bike, and playing baseball. However, ever since Frank was a baby his parents have noticed that he becomes tired faster than the other kids and must take twice the amount of brakes throughout a day. In addition, Frank also experiences episodes of unexplained pain in his chest and knees that are few and far apart but uncommon in a 5 year old. Upon the swelling of Frank’s hands and feet, his parents took him to the emergency room

3. What would your initial diagnosis be for Frank?
What tests would you run to verify your initial diagnosis?

4. Initial diagnosis:
tired faster, pain in his chest and knees, swelling hands and feet are Refers to sickle cell anemia

5. TESTS complete blood count (CBC) test: RANGE VALUE COMPONENT
   million cells
3 000 cells/mcL
RBC
4-11/μL
12 500/μL
WBC
12-13 g/dl
8 g/dL Hb
0-2 cell
87 cell
reticulocyte
/μL
/μL
platelet 

6. Blood smear test:

7. Hemoglobin electrophoresis test:
Hb S is approximately 70%
HbF 30%.
HbA2 5%

8. THE END