Back Pain Back pain is extremely common during pain episodes in patients with sickle syndromes. In children and young adults one must always consider renal pathology or musculoskeletal pain unrelated to the sickle syndrome. In older adults, disk disease, tumors and infection must be considered.
Gynecologic disease is a consideration in sexually active females at any age.
Clinical Findings Subjective Data Present Illness . The most important question is whether the pain is characteristic of the usual pain during a pain episode. If it is not typical, the onset of pain and location, radiation, effect of activity, severity, trauma or fall must be characterized. Age, occupation, aggravating factors such as movement, cough etc. Review of Symptoms .