6541 Week 8 Ihuman i-human: Miah Zavarro, Joint Pain, Sickle Cell Anemia Parts 1 & 2

6541 Week 8 Ihuman i-human: Miah Zavarro, Joint Pain, Sickle Cell Anemia Parts 1 & 2

541 Week 8 Ihuman i-human: Miah Zavarro, Joint Pain, Sickle Cell Anemia Parts 1 & 2

Questions and Responses

REMEMBER TO SWITCH THE CONVERSATION TO THE MOM FIRST

How can I help you today?

Her hands and feet are all swollen and I believe very painful. Both started at the same time. It's gotten progressively worse over the last two days. She doesn't want me to touch her hands. She won't pick anything up anymore, and she refuses to hold anything in her hands.

Does she have any allergies?

Not that I know of

Does she have joint or bone pain?

I don't know what kind of pain or if it is muscle or what, but her hands and fingers toes are clear and painful for her.

What are the events surrounding the start of the pain in her hands?

I really don't know. I don't know she had a little fever last week, up to 101.5 but by the next morning she was back to normal. Then this

How severe (1-10 scale) is the pain in her hands?

She won’t hold things.

Has she had the pain in her hands before?

Yes, but much milder. She was much smaller than and couldn't talk as well, but her hands were slightly swollen and she wouldn't hold things. This got better pretty rapidly on its own so I did not take her to be seen.

Any problem moving her hand(s)?

Yes. I can tell it hurts her to move her hands.

Has she had any trauma to her hands?

Not that I'm aware of

Does she have pain/discomfort when she is at rest?

Yes, hands and feet hurt all the time

How severe (1-10 scale) is the pain in her feet?

She won't stand up and even cries when I put her socks on.

Has she had any trauma to her feet?

Not that I know of

Does anything make her pain better or worse?

Movement or touching her feet makes the pain worse. Ibuprofen, fluids and rest seem to relieve her pain somewhat……….. Continue