Clubbing in a 29yo M with sickle cell anemia | Figure 1

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Clubbing in a 29yo M with sickle cell anemia

More about this case

Blood smear of a patient with iron deficiency anaemia. Hypochromic red blood cells. A target cell can be seen at the tip of the pointer.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.