MKSAP: 24-year-old woman with sickle cell anemia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 24-year-old woman undergoes routine evaluation. She is pregnant at 12 weeks’ gestation. Medical history is notable for homozygous sickle cell anemia (Hb SS). She has had multiple uncomplicated painful crises treated at home with hydration, nonopioid analgesia, and incentive spirometry. She requires hospital management for these episodes approximately twice per year. She has declined …


![A neurosurgeon's fight with the state medical board [PODCAST]](https://kevinmd.com/wp-content/uploads/Design-1-190x100.jpg)



![How one physician redesigned her practice to find joy in primary care again [PODCAST]](https://kevinmd.com/wp-content/uploads/The-Podcast-by-KevinMD-WideScreen-3000-px-3-190x100.jpg)



![How sleep, nutrition, and exercise restore physician well-being [PODCAST]](https://kevinmd.com/wp-content/uploads/The-Podcast-by-KevinMD-WideScreen-3000-px-4-190x100.jpg)

