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:
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:
- What ABO group is the patient?
- What does the antibody screen and panel demonstrate?
- What further clinical information do you require?
- Would you request any additional tests?
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