19 year old male with joint pains
A 19 year old male student came with a chief complaint of joint pains since four days. HISTORY OF PRESENT ILLNESS:- Patient came to the causality with joint pains since 16/3/2022 Patient is a known case of sickle cell Anemia and Beta thalassemia. He had severe joint pains in the past also since 4 years . He was given IV fluids and antibiotics for the pain. HISTORY OF PAST ILLNESS:- In 2008 patient had yellow discoloration of eyes and visited our hospital and was given iron supplements In 2012 patient was adviced for HPLC Patient HbF: 27.7% HbAo: 5.4% HbA2: 4.7 HbS : 61.3 - diagnosed with sickle cell Anemia and Beta thalassemia. Patient was adviced to take folic acid 5mg everyday. In 2018 patient had joint pains 1 episode and visited hospital and was given IV fluids and the pain subsided after 4-5 days. In 2019 again the patient had severe joint pains 1 episode and was given IV fluids. In 2020 and 2021 also patient had 1 episode of joint pains each year . In 2022 he had 4 episodes o