A 2-Year-Old Boy with Sickle Cell Anemia Is Brought to the Emergency

A 2-year-old boy with sickle cell anemia is brought to the emergency department by his parents due to pallor and decreased responsiveness.  Yesterday, the patient had abdominal pain and less energy than usual.  This morning, he looked pale and the parents had difficulty awakening him.  The patient has had no fever, vomiting, diarrhea, or rashes.  He takes daily folic acid and prophylactic penicillin against pneumococcal infection.  Temperature is 36.7 C (98.1 F) , blood pressure is 70/30 mm Hg, pulse is 158/min, and respirations are 44/min.  On physical examination, the patient appears pale and is asleep but is briefly arousable to painful stimuli.  Examination reveals a 3/6 systolic ejection murmur throughout the precordium and clear breath sounds.  Abdominal examination demonstrates marked splenomegaly, and the patient grimaces with palpation of the left upper quadrant.  Capillary refill is >3 seconds, and the extremities are cyanotic and cool to the touch.  Which of the following laboratory profiles would most likely be seen in this patient?

A) A
B) B
C) C
D) D
E) E

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free