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A 10-year-old child presents to the emergency
A 10-year-old child presents to the emergency department with the complaint of right thigh pain. This child is one of your well-known sickle cell disease (SCD) patients, having been followed by your practice since birth. His previous history includes two previous hospitalizations, once at 6 months for fever and another at 12 months for a swollen, painful left wrist. On examination, he is afebrile, but his heart rate is 130 beats/min. You notice tenderness to palpation over the right femur with an otherwise benign physical examination. What is the most likely diagnosis? What is the next step in the care of this patient? What long-term strategies might be employed to prevent recurrence? SCIENCE HEALTH SCIENCE NURSING NURSING 340
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