Q: The gold standard for assessment of pain in a patient with acute exacerbation of vaso-occlusive crisis in sickle cell disease (SCD) is?
A) patient's report of his change in pain level
B) Clinician's assessment on physical exam
C) absence of hemolysis
D) stability of the hemoglobin level
Answer: A
The gold standard for assessment of pain in a patient with acute exacerbation of vaso-occlusive crisis in sickle cell disease (SCD) is patient's own description of his change in pain level. Patient's with SCD disease are found to be reliable in reporting either change in intensity or change of location of pain from their previous baseline. This precedes before any clinical or laboratory finding.
#hematology
References:
1. http://americanpainsociety.org/education/guidelines/sickle-cell-guideline.
2. Yawn BP, Buchanan GR, Afenyi-Annan AN, et al. Management of sickle cell disease: summary of the 2014 evidence-based report by expert panel members. JAMA 2014; 312:1033.
A) patient's report of his change in pain level
B) Clinician's assessment on physical exam
C) absence of hemolysis
D) stability of the hemoglobin level
Answer: A
The gold standard for assessment of pain in a patient with acute exacerbation of vaso-occlusive crisis in sickle cell disease (SCD) is patient's own description of his change in pain level. Patient's with SCD disease are found to be reliable in reporting either change in intensity or change of location of pain from their previous baseline. This precedes before any clinical or laboratory finding.
#hematology
References:
1. http://americanpainsociety.org/education/guidelines/sickle-cell-guideline.
2. Yawn BP, Buchanan GR, Afenyi-Annan AN, et al. Management of sickle cell disease: summary of the 2014 evidence-based report by expert panel members. JAMA 2014; 312:1033.
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