Case Study 1: Initial Information and Testing

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The page below is a sample from the LabCE course A Comprehensive Overview of "HTLA" and "HTLA-Like" Antibodies. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Case Study 1: Initial Information and Testing

Patient: A 63-year-old African-American patient with a history of Systemic Lupus Erythematosus (SLE) and multiple pregnancies, who has never been transfused.
Presenting Problem: The patient was experiencing acute anemia due to recurrent GI bleeding episodes and the phsyician wanted to transfuse 2 units of blood as soon as possible. The initial antibody screen was panreactive in gel, so the transfusion services lab reflexed to an antibody panel with an autocontrol in PEG:
Rh-HrKellDuffyKiddLewisMNSsP1LutheranXg
Cell NumberDCcEeVCwKkKpaKpbJsaJsbFyaFybJkaJkbLeaLebMNSsP1LuaLubXgaAHG (PEG)
1++00+000+0+0++0+++0+++++0+00√
2++00+0+++0+0+++0+0+0++++0+01+
3+0++0000+0+0+0+0+0++00++0+0w+
4+0+0++00+0+0+00+00++++0+0+01+
50++0+000+0+0++++++00+0+00+01+
60+0++00++0+0+0++00+++++00+0w+
700+0+000+0+0++0+0+0+00++0++1+
800+0+000+0+0+++0+0+++++00+01+
900+0++00+0+0++++00+0++0+0+01+
10+0+0+00++0+0+0+0+0+0++0+0++w+
AC0√