Info

Table 2.2. Approach to surgery in sickle cell states.

Yes/positive

No/negative

Unavailable

Patient at risk? Do electrophoresis Electrophoresis? Diagnostic Sickledex? Check FBC, film Hb < 9 g/dl? Probably sickle cell disease

Treat as normal Sickle disorders excluded Sickle disorders excluded Probably sickle cell trait, but beware of Hb SC (see Table 2.10)

Do sickledex

Treat as sickle cell disease

Treat as sickle cell disease

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