BOF 59

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BOF 59
Sickle cell anaemia, all are true, except:
1-despite the degree of anaemia in the chronic stable state it is usually rarely symptomatic
2-in contrast to beta thalassaemia major, blood transfusion is rarely indicated except probably in crisis or in certain selected patients not in crisis
3-the target of blood transfusion is to raise the haemoglobin A to 85-90% of the total haemoglobins and the PCV should be between 30-36 %
4-pulmonary infarction-chest syndrome is the commonest cause of death in adults
5-stroke in general is seen in 70 % of adults

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