Wendy Marawi, a 35-year-old cancer patient, recently underwent a bone marrow transplant. During her teleconsultation with her doctor, she complains that she has been experiencing nausea and bowel movement discomfort, and she cannot sleep at night due to fever. The doctor requested the Blood Bank to investigate if there were some errors in the transfusion. ALP 92U/L AST 35U/L ALT 40U/L Total bilirubin 1.5mg/dL Total protein 8.5g/dL Albumin 5.3g/dL Creatinine 1.2mg/dL BUN 23mg/dL C3 3.1g/L RBC 2x1012/L WBC 2.4x109/L Platelet 93x109/L Hemoglobin 11g/dL Hematocrit 30% Does she need further workup? What laboratory work up?

Wendy Marawi, a 35-year-old cancer patient, recently underwent a bone marrow transplant. During her teleconsultation with her doctor, she complains that she has been experiencing nausea and bowel movement discomfort, and she cannot sleep at night due to fever. The doctor requested the Blood Bank to investigate if there were some errors in the transfusion. ALP 92U/L AST 35U/L ALT 40U/L Total bilirubin 1.5mg/dL Total protein 8.5g/dL Albumin 5.3g/dL Creatinine 1.2mg/dL BUN 23mg/dL C3 3.1g/L RBC 2x1012/L WBC 2.4x109/L Platelet 93x109/L Hemoglobin 11g/dL Hematocrit 30% Does she need further workup? What laboratory work up?

Basic Clinical Laboratory Techniques 6E

6th Edition

ISBN:9781133893943

Author:ESTRIDGE

Publisher:ESTRIDGE

Chapter4: Basic Immunology And Immunohematology

Section4.5: Introduction To Immunohematology

Problem 2CS

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Wendy Marawi, a 35-year-old cancer patient, recently underwent a bone marrow transplant. During her teleconsultation with her doctor, she complains that she has been experiencing nausea and bowel movement discomfort, and she cannot sleep at night due to fever. The doctor requested the Blood Bank to investigate if there were some errors in the transfusion. ALP 92U/L AST 35U/L ALT 40U/L Total bilirubin 1.5mg/dL Total protein 8.5g/dL Albumin 5.3g/dL Creatinine 1.2mg/dL BUN 23mg/dL C3 3.1g/L RBC 2x1012/L WBC 2.4x109/L Platelet 93x109/L Hemoglobin 11g/dL Hematocrit 30% Does she need further workup?
An elderly couple was killed in an accident. No surviving relatives are known, so their estate have been willed to chasrity. Later, a man claims that he is their child. Although friends of the couple knew that they had a son, no record of this can be found. Medical records show that the dead man was A Rh’, his wife was B Rh- and the claimant’s blood tests as O Rh’. Does it appear that his claim is valid? Justify your conclusion. A student in genetics is B’. She reports that her father is B- and her mother is O’. Give this student’s genotype for the ABO and Rh blood types.
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A patient was admitted for lower gastrointestinal bleeding that is secondary to recurrent diverticulitis of the sigmoid colon. She was transfused due to blood loss anemia. Final diagnoses: (1) Diverticulitis sigmoid colon, (2) gastrointestinal bleed, (3) blood loss anemia, (4) peripheral vein transfusion of packed red blood cells from the blood bank. Assign the appropriate codes (3 codes - 2 diagnosis and 1 procedure)
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Wendy Marawi, a 35-year-old cancer patient, recently underwent a bone marrow transplant. During her teleconsultation with her doctor, she complains that she has been experiencing nausea and bowel movement discomfort, and she cannot sleep at night due to fever. The doctor requested the Blood Bank to investigate if there were some errors in the transfusion. a. What is her diagnosis? Explain your answer by correlating with the given laboratory data. b. What are the key symptoms seen in the situation? c. Does she need further workup? What other laboratory tests should be done?
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