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diplomatic_scarf

What is the meaning of this?

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We got a blood sample for ABO/Rh and Antibody screen testing. 

Results: 

Forward typing: 

Anti- A : Negative

Anti-B : Negative

Reverse typing: 

A1 cells: 4+

B cells: 4+ 

 

Antibody screen and auto-control:

Cell 1: 4+

Cell 2: 4+

Cell 3: 4+

Auto-control: Negative

Patient is from Mumbai. 

 

 

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20 minutes ago, Malcolm Needs said:

Looks like it could be an Oh individual.

Try testing the red cells of the patient with Ulex europeaus.

 

Result:

Patient red cells + Ulex europepeaus = Negative 

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Posted (edited)

or there are unexpected antibody/antibodies in the patient's plasma.:)

Edited by yan xia

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56 minutes ago, yan xia said:

or there are unexpected antibody/antibodies in the patient's plasma.:)

 

That is what we are trying to figure out. Thank you

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4 minutes ago, John C. Staley said:

Have you attempted an antibody identification panel?  

:coffeecup:

 

Result:

Antibody identification panel:

All panel cells = 4+

Auto-Control= Negative

 

 

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What you are identifying is almost certainly a strong anti-H in an Oh individual.  However, if the individual requires a transfusion, you will need to perform differential allo-adsorption (or something similar) to identify any other underlying clinically significant atypical antibodies (you can ignore any underlying Lewis antibodies, which are commonly also present).

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On 5/18/2020 at 2:46 AM, diplomatic_scarf said:

We got a blood sample for ABO/Rh and Antibody screen testing. 

Results: 

Forward typing: 

Anti- A : Negative

Anti-B : Negative

Reverse typing: 

A1 cells: 4+

B cells: 4+ 

 

Antibody screen and auto-control:

Cell 1: 4+

Cell 2: 4+

Cell 3: 4+

Auto-control: Negative

Patient is from Mumbai. 

 

 

What is the patient's Rh type?

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