An 50 yo female patient who had a post-partum bleeding. Blood type is O Rh -, Hemoglobin 85mg/dl, Medical Hstory: G2P2 (2002), (+) Multiple Myeloma, non-hypertensive, no history of previous obstetric and gynecologic pathology. The attending physician ordered for Blood transfusion, to secure 3 units of whole blood, properly typed and crossmatched. Forward and reverse typing showed the following results: Forward reactions: Anti-A (4+) Anti-B (0) Reverse reactions: A1 Cells (2+) B Cells (0) Microscopy: Presence of Rouleaux formation A. What is the probable blood type of this patient? B. Describe the discrepancies? Type of discrepancy? C. What testing would you perform next to resolve the discrepancy?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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An 50 yo female patient who had a post-partum bleeding. Blood type is O Rh -, Hemoglobin 85mg/dl, Medical Hstory: G2P2 (2002), (+) Multiple Myeloma, non-hypertensive, no history of previous obstetric and gynecologic pathology. The attending physician ordered for Blood transfusion, to secure 3 units of whole blood, properly typed and crossmatched. Forward and reverse typing showed the following results: Forward reactions: Anti-A (4+) Anti-B (0) Reverse reactions: A1 Cells (2+) B Cells (0) Microscopy: Presence of Rouleaux formation A. What is the probable blood type of this patient? B. Describe the discrepancies? Type of discrepancy? C. What testing would you perform next to resolve the discrepancy?
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