Case Study 2: 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 2: Initial Information and Testing

Patient: An 88-year-old Caucasian patient with scheduled knee replacement surgery.
Presenting Problem: Panreactive antibody screen in gel, surgery scheduled for next morning. An antibody panel with autocontrol in gel was performed by the hospital transfusion service:
Rh-HrKellDuffyKiddLewisMNSsP1LutheranXg
Cell NumberDCcEeVCwKkKpaKpbJsaJsbFyaFybJkaJkbLeaLebMNSsP1LuaLubXgaGel
1++00+000+0+0++0+++0+++++0+01+
2++00+0+++0+0+++0+0+0++++0+01+
3+0++0000+0+0+0+0+0++00++0+01+
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+01+
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++1+
AC 0
Since the reactivity appears to be an antibody to a high-prevalence antigen, the specimen was sent STAT to a reference laboratory.