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General Medicine General f43ea08b

A 25 year old female, a known case of sickle cell anemia is presented with bony pain, dyspnea, fever & cough. O/E: her HR is 110/min & BP is 140/88 mmHg, SaO2 is 85%. CXR shows bilateral diffuse alveolar infiltrates. Her mother gives history of four similar episodes in the last one year. All of the statements regarding her condition are true EXCEPT:

A
Chronic therapy with oral hydroxyurea should be considered.
B
She is having a sickle cell acute chest syndrome.
C
She should receive daily sildenafil.
D
Hematocrit should be maintained at >30%.
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