Rh-hr KELL Duffy Kidd P Lutheran MNSs Lewis
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1 29 yo Gravida 4 para 3 female traveling to Colorado on vacation while 30 weeks pregnant. In Er after minor traffic accident. Type and requested. >A >B A1c Bc >D Cell IS 37C AHG I II Prev None III None Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell IS 37C AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
2 29 yo Gravida 4 para 3 female traveling to Colorado on vacation while 30 weeks pregnant. In Er after minor traffic accident. Type and requested. >A >B A1c Bc >D Cell IS 37C AHG I II Prev None III None Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell IS 37C AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
3 60 yo caucasion male with recurrent GI bleeding due to polyps. Hgb now at 6.3 and bleeding from rectum. Type and Cross 2 units ordered. >A >B A1c Bc >D Cell IS 37C AHG I II Prev None III units RBS since Most recent 6 months ago. Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell IS AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
4 60 yo caucasion male with recurrent GI bleeding due to polyps. Hgb now at 6.3 and bleeding from rectum. Type and Cross 2 units ordered. >A >B A1c Bc >D Cell IS 37C AHG I II Prev None III units RBS since Most recent 6 months ago. Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell IS AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
5 47 yo female with a history of breast cancer in remission for 10 years after an autologous stem cell transplant. Hospitalized 2 weeks ago with pneumonia. >A >B A1c Bc >D Cell AHG I 0 DAT II 3+ Prev None Poly IgG C3d III 0 47 RBC transfusion most recent 8 days ago MF MF MF Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R MF
6 47 yo female with a history of breast cancer in remission for 10 years after an autologous stem cell transplant. Hospitalized 2 weeks ago with pneumonia. >A >B A1c Bc >D Cell AHG I 0 DAT II 3+ Prev None Poly IgG C3d III 0 47 RBC transfusion most recent 8 days ago MF MF MF Rh-hr KELL Duffy Kidd P Lutheran MNSs Lewis Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R MF
7 69 yo caucasian male with history of left hip replacement 3 years ago. He is here for the right hip. type and cross 2 units ordered. >A >B A1c Bc >D Cell AHG = I 2+ II 3+ Prev None from previous surgery III 0 6 units RBC after last surgey none since Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
8 69 yo caucasian male with history of left hip replacement 3 years ago. He is here for the right hip. type and cross 2 units ordered. >A >B A1c Bc >D Cell AHG = I 2+ II 3+ Prev None from previous surgery III 0 6 units RBC after last surgey none since Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
9 28 yo gravida 1 para 0 presents for her first prenatal visit. Prenatal workup (type and screen) requested. >A >B A1c Bc Prev None available, the office is closed and first time patient. None Rh-hr KELL Duffy Kidd P Lutheran MNSs Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R Remember you keep the LeMn PI in the fridge so it stays cold!
10 >D Cell IS AHG 0 I 2+ 0 II 2+ 0 III 0 0 Lewis s Lea Leb Cell IS AHG =
11 28 yo gravida 1 para 0 presents for her first prenatal visit. Prenatal workup (type and screen) requested. >A >B A1c Bc Prev None available, the office is closed and first time patient. None Rh-hr KELL Duffy Kidd P Lutheran MNSs Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R Remember you keep the LeMn PI in the fridge so it stays cold!
12 >D Cell IS AHG 0 I 2+ 0 II 2+ 0 III 0 0 Lewis s Lea Leb Cell IS AHG =
13 72 yo male patient, history of multiple myeloma for the last 2 years. Comes in for frequent transfusions of red cell for chemo related anemia. >A >B A1c Bc >D Cell AHG I 2+ DAT II 2+ Prev Warm Auto Ab Poly IgG C3d III 2+ transfusion totallin 210 every 2 weeks. Last one 2 weeks ago. 2= Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
14 72 yo male patient, history of multiple myeloma for the last 2 years. Comes in for frequent transfusions of red cell for chemo related anemia. >A >B A1c Bc >D Cell AHG I 2+ DAT II 2+ Prev Warm Auto Ab Poly IgG C3d III 2+ transfusion totallin 210 every 2 weeks. Last one 2 weeks ago. 2= Rh-hr KELL Duffy Kidd P Lutheran MNSs Lewis Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R WAA GIVE PHENOTYPICALLY MATCHED.
15
16 17 yo male trauma patient. >A >B A1c Bc >D Cell AHG I 3+ II 2+ Prev Unknown III 2+ Unknown Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
17 Prev FOLLOW UP PANEL >A >B A1c Bc >D Cell IS 37C AHG I II III Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 12 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
18 17 yo male trauma patient. >A >B A1c Bc >D Cell AHG I 3+ II 2+ Prev Unknown III 2+ Unknown Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R Rh-hr KELL Duffy Kidd P Lutheran MNSs Lewis Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 12 R1R R1R
19 14 R2R R0r r1r r2r rr rr rr rr R1R K+ 3 FYA+ 4 K- 4 FYA- 98% 98%
20 17 yo male trauma patient. Sickle cell patient, has been multiply transfused. >A >B A1c Bc >D Cell AHG I 3+ II 2+ Prev Anti Kell and Anti- FYA III weeks ago during hospitalization for crisis Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
21 17 yo male trauma patient. Sickle cell patient, has been multiply transfused. >A >B A1c Bc >D Cell AHG I 3+ II 2+ Prev Anti Kell and Anti- FYA III weeks ago during hospitalization for crisis Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R If the patient has antibodies that were identified previously, the known antibodies may affect panel decision. It will not be helpful to test the patient's serum with cells positive for known antibodies. Finding cells negative for known antibodies is a better approach. It is not necessare to test cells to reconfirm the previously identified antibody. If the patient's phenotype is known, a selected panel may also be selected to find additional antibodies. Per AABB Technical Manual 17th edition page 469.
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23 >A >B A1c Bc >D Cell IS 37C AHG I II Prev III Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell IS 37C AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
24 >A >B A1c Bc >D Cell IS 37C AHG I II Prev III Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell IS 37C AHG 1 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
25 >A >B A1c Bc >D Cell IS 37C AHG I II Prev III Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell IS 37C AHG 12 R1R R1R R2R R0r r1r r2r rr rr rr rr R1R
26 >A >B A1c Bc >D Cell IS 37C AHG I II Prev III Cell Rh-hr D C E c e f CW V K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb P Lua Lub M N S s Lea Leb Cell IS 37C AHG
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