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A 62 year old woman was admitted to the hospital for surgery for removal of an o

ID: 3516098 • Letter: A

Question

A 62 year old woman was admitted to the hospital for surgery for removal of an ovarian cyst. A check of her patient records revealed that she generally had good health with only a few minor illnesses. Two pregnancies resulted in the birth of healthy infants. She had not been taking any medication prior to her admission to the hospital.

Her blood type results are as follows:

Anti-A

Anti-B

A1 cell

B cell

0

0

0

4+

1. What reagent could be used to help resolve this blood type?

A2 cells

O cells

Anti-A,B

Different lot of anti-A sera

2. What is her most likely blood type?

O

B

A

Bombay

Anti-A

Anti-B

A1 cell

B cell

0

0

0

4+

Explanation / Answer

see, according to the question, there is the missing antigen in forward grouping. The patient appears as group A in reverse grouping

may be caused by A subgroup

the resolution can be:-: extend incubation time because this may enhance the reaction. Test with a polyclonal or monoclonal blend of anti-A, B (may contain subgroup antigens)

so answer for the first question's answer will be:-

anti- A,B

the answer to the second will be:-

A


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