Clinical features

• painful crises
• acute chest syndrome
• infective episodes
• neurological or surgical problems

• where they have pain ^c
• potential triggers such as cold weather, stress, exertion, alcohol, or pregnancy

• chest pain, fever, dyspnoea and coughing ^c  

• fever and rigors ^c and any possible infection ^d
• abdominal pain ^c
• priapism ^c  

• chest signs ^c
• signs of infection ^d
• focal neurological signs ^d
• an acute abdomen ^c

Ask for a surgical opinion if there are signs of an acute abdomen - it may not be due to the crisis! ^c