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باطني خطاطبة
باطني خطاطبة
pneumococcus, meningococcus, Haemophilus influenza(due to autosplenectomy) Aplastic crises Triggered by parvovirus B19 which suppress bone marrow(ususlly active in hemolytic anemia to compensate),result in sever drop in Hb,and reticulocyte count Complications i-Overwhel post-auto-splenectomy infection (OPSI) © For encapsulated bacteria "Streptococcus pneumonia * Hemophilus influenza (Hib) * Meningococcus oie ieledbhaassee tae 2-Stroke 3-Cholel sis (pigmented gallstones) and cholecystitis 4-Pulmonary hypertension 5-Priapism (erection for > or = 6 hours) and infarction of the penis 6-Leg ulcers lary necrosis in the kidneys and Chronic renal 8-Avascular necrosis of head of femur 9-Osteomyclitis (bacterial bone infection)>cause sal Diagnosis Hb electrophoresis (best) 1Lif show increase Jevel of HbS>70% HbF<30%(in sickle ceil anemia) 2-sickle cell trait if HbS 40-50% and HbA 50-60% 3-HbSC if 50%EbS 50%EbC 411bS60% increase HbA2 HF <30% this HbS -B thalassemia Notes -Hb electrophoresis shouldn't be done if patient took blood transfusion (wait 1 month after blood transfusion) 105£0. “sysSyouroy ut yon yomyaa(oraryosu zqst o1'(ergnqos) VALI cra ome 3ye {uous p mood exmoue yoo appus poe BIMASSEE- jo suds o5- ‘sqjuous $-z y8 1n900 [WAFL O1 TEAS PUE AqHIAOS SeH ste YoULION M65 EeaAHT CoS'L6<09 PIOUS HORM) TVAH 5: GE AIMpe feuLoN :s0}0N wosasaER, | mosnem ouoqou0tU sof [:iaag “Suonmnur wuDssom oxy ssjaiTe Mog JE | eTMOSSETEUT, ‘expounsiuT ‘sunroy ours pure 1ofewr uo2Mu3q ayetpomssquE uorpUOD y | eruDesEleLL, CASLE) TY EIgDFBOMATT WE BSEEISP Bus « pur (o66'¢<) cv mMgorRowa}asearouruauTeAN Joy | psou ovonewoxduxse iq xo} ADW “HuAUE 160.0" 29 AYNS TEM ToNPIAIpU vonBMUT wgOFs-A eyo suo | rMassEIER, wondnaseq aN sofem erurasseye B39q TALS TAPIA ‘SulOs Joy aanemn oq ue syMe[dsuER MouEr uO © USIP sor (omen) sour oraosseyerp pu ‘expoxuoyot equssepeyy ‘sofeu wiusseyein :sumuoy eM Sout (erq018-4) 11 atosoworyo wo owed suOREINAL * ugorfouay Jo sumeyo w2q om Jo sIsoUUAS qWUOSqe 0 paonpsy ermasseley ]-e)>g, (11 suosomonp)emasserep mag pu(g] auosowosys) eydyy summoy toler Z ‘uorfay uveuezoupayy UI a70u!- (Mo} ADIN) 2nK0010- anissooas fowosoyny- So entasserea Te (eaneinsopt ONY pv snoqmapo ane Sout, ig say $THONS aIp ant 130 | ue oVp as0qp pur ‘syoref sdoupdyorom wy aR MEAL | Toler Rae ao] swoydushs roatg “(euregp J s1zamex}a1) 11 WGO(BourEyL poe -seeosip HY uIgo|BOuDy] poles st UONIpUOD aU, ¢ quorodonpks jaunow Auwse ywaned ust wae omen) wrunasseyeureqdye poffeo s] worpuOD STL Sopa weps spe ModMATe emo ued 01 xfnous qdre amy, ayo youoRANE sas 1 eee ‘papaye | comnossojern nude jo wondupsoq| sofaitv fore souod wgo} erp