44 research outputs found

    Ask a specialist : Ask a pathologist

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    Question: I ordered a type and screen on my patient, and the blood bank reported that her direct Coombs test was positive. Does that mean my patient has autoimmune hemolytic anemia

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    This article answers the question: Our hospital blood bank has started using platelet additive solution (PAS) platelets and psoralen treated platelets. What are the advantages and disadvantages of these different types of platelets?Includes bibliographical reference

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    QUESTION: My patient has thrombocytopenia, but after the last platelet transfusion his platelet count only increased from 21,000/μL to 26,000/μL. Does he need crossmatched platelets

    From the Journals

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    QUESTION: I am suspicious that my patient with aortic stenosis may have acquired von Willebrand syndrome. What laboratory tests should I order if I suspect this diagnosis

    Warm autoantibodies

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    This article answers the question: My patient is anemic and I ordered a type and screen, and the blood bank told me they are unable to find compatible units due to a warm autoantibody. What is the next step?Emily Coberly (Department of Pathology and Anatomical Sciences, University of Missouri)Includes bibliographical reference

    Preoperative anemia management

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    This article answers the question: My patient's blood type is O negative, but the platelet transfusion he received yesterday was Rh positive. What is the risk of developing an anti-D alloantibody after exposure to an Rh positive platelet unit, and does he need Rh Immune Globulin prophylaxis?Emily Coberly (Department of Pathology and Anatomical Sciences, University of Missouri, Columbia, MO)Includes bibliographical reference

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    This article answers the question: After ordering a type and screen I was notified by the blood bank that my patient has cold autoantibodies. Does this mean that my patient has a cold agglutinin disease?Includes bibliographical reference

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    QUESTION: My patient has a palpable neck mass that is suspicious for malignancy, and I am considering ordering a fine needle aspiration (FNA) versus a core needle or open biopsy. Which typeof biopsy will have the fastest result from pathology

    Case of the Month

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