Ismai'l A., 17

Isma'il is a 17yo old male child living with his parents. He was initially in school but not any more due to lack of finance. The father is late, the mother is the only one taking care of Isma'il and his three siblings. They are living in a 2 rooms apartment with a pit toilet. They make use of water from the well for their daily activities. They don't have access to electricity. Isma'il a 17year old boy, conscious but in severe pains, very ill looking, pale, febrile to touch, icteric, acyanosed and lethargic. Tachypneic with tachycardia. Bowel sounds heard. Tenderness in both hip joints and on the spine. Patient was diagnosed with Vaso-occlusive Bone Crisis in Sickle cell disease. The mother is the only one taking care of the family as the father is not alive, she has been struggling and they were brought to be helped under Helpster Charity by a volunteer. The were given exclusive care at Albishir Hospital

Isma'il a 17year old boy, conscious but in severe pains, very ill looking, pale, febrile to touch, icteric, acyanosed and lethargic. Tachypneic with tachycardia. Bowel sounds heard. Tenderness in both hip joints and on the spine. Patient was diagnosed with bone crisis in sickle cell disease. Treatment includes adequate analgesia (paracetamol, diclofenac for severe pain), hydration (IV fluids), treatment of precipitating factors such as infection e.g., malaria, bed rest, warmth, other supplementations, monitoring for complications, and long-term prevention with hydroxyurea. Patient was discharged and is to return for follow up after one week. The family are happy for the support and remained grateful for the medical support to Helpster Charity.

The prognosis of bone crisis in sickle cell disease is good if treated early in relation to Isma'il. The pain episodes improve within a few days with proper care. However, repeated crises can lead to long-term problems like chronic pain or bone damage. With regular medical care, medications, and avoiding triggers, the patient can reduce the number of crises and live active lives. Currently with the kind of care given to Isma'il to combat the pain, he is recovering speedily.