Case 130 – the beginning

It is 5pm. You are the haematology SpR and you have just congratulated yourself on clearing the blood films and aspirates to report – good job! But just as you are taking off your lab coat, a transfusion BMS pops round to discuss an issue they have.

A sample has been sent for Group and Screen (G&S) on a patient not previously known to the trust. The clinical details state: ‘Patient recently moved to area. For 2 units RBC ASAP.’ The lab have performed ABO and D typing as well as an antibody screen and subsequent panel. The results of these are shown below:

ABO group:

ABO

Antibody screen:

Abscreen

Antibody panel:

Abpanel

The BMS has sent a sample to the Red Cell Immunohaematology (RCI) lab at NHSBT to investigate further, but wants your advice on how to proceed clinically….

A few things to think about:

  1. What ABO group is the patient?
  2. What does the antibody screen and panel demonstrate?
  3. What further clinical information do you require?
  4. Would you request any additional tests?

 

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Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

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